TIMOTHY PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000636

License Status

EXPIRED

Business

Title

First Name

TIMOTHY

Last Name

PARK

Business Name

TIMOTHY PARK MD

Original Issue Date

08/24/2015

Effective Date

08/24/2015

Expiration Date

02/23/2016

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2016