ALBERT PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

ALBERT

Last Name

PARK

Business Name

ALBERT PARK MD

Original Issue Date

05/04/2020

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023