KI Y PARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072328

License Status

INACTIVE

Business

First Name

KI Y

Last Name

PARK

Suffix

Business Name

KI Y PARK MD

Original Issue Date

02/20/1986

Effective Date

02/20/1986

Expiration Date

07/31/1990

City

BAYSIDE

State

Zip

11364

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006