CHANG HWAN PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044701

License Status

NOT RENEWED

Business

First Name

CHANG HWAN

Last Name

PARK

Suffix

Business Name

CHANG HWAN PARK MD

Original Issue Date

08/09/1971

Effective Date

08/09/1971

Expiration Date

07/01/1982

City

CORTLAND

State

Zip

13045

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006