ANDREW PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137160

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Last Name

PARK

Business Name

ANDREW PARK MD

Original Issue Date

01/23/2015

Effective Date

01/23/2015

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017