EUGENE PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148005

License Status

NOT RENEWED

Business

Title

First Name

EUGENE

Last Name

PARK

Business Name

EUGENE PARK MD

Original Issue Date

12/28/2018

Effective Date

12/28/2018

Expiration Date

09/30/2020

City

HADDONFIELD

State

Zip

08033

Ever Disciplined

LastModifiedDate

01/14/2021