JUNIPER J LEE-PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151779

License Status

NOT RENEWED

Business

Title

First Name

JUNIPER

Middle

Last Name

LEE-PARK

Business Name

JUNIPER J LEE-PARK MD

Original Issue Date

02/07/2020

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

ELLICOTT CITY

State

Zip

21042

Ever Disciplined

LastModifiedDate

11/30/2023