WILLIAM C PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047772

License Status

EXPIRED

Business

First Name

WILLIAM

Middle

Last Name

PARK

Suffix

Business Name

WILLIAM C PARK MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/30/2008

City

HINES

State

Zip

60141

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/31/2008