MOON JAE PAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059981

License Status

NOT RENEWED

Business

First Name

MOON JAE

Last Name

PAK

Suffix

Business Name

MOON JAE PAK MD

Original Issue Date

01/11/1980

Effective Date

01/11/1980

Expiration Date

07/01/1982

City

ROCHESTER

State

Zip

48063

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006