SUN O PARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069193

License Status

INACTIVE

Business

First Name

SUN O

Last Name

PARK

Suffix

Business Name

SUN O PARK MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/31/1990

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006