JUNG IL PARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062448

License Status

INACTIVE

Business

First Name

JUNG IL

Last Name

PARK

Suffix

Business Name

JUNG IL PARK MD

Original Issue Date

07/01/1981

Effective Date

07/01/1981

Expiration Date

07/31/2005

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006