PETER KYUNMYONG PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056126

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

KYUNMYONG

Last Name

PARK

Business Name

PETER KYUNMYONG PARK MD

Original Issue Date

11/14/1977

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021