SOON IE PARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056590

License Status

INACTIVE

Business

First Name

SOON

Middle

Last Name

PARK

Suffix

Business Name

SOON IE PARK MD

Original Issue Date

03/21/1978

Effective Date

03/21/1978

Expiration Date

07/31/1987

City

VILLA HILLS

State

Zip

41017

Ever Disciplined

LastModifiedDate

02/24/2010