JAMES PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137412

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Last Name

PARK

Business Name

JAMES PARK MD

Original Issue Date

02/24/2015

Effective Date

02/24/2015

Expiration Date

07/31/2017

City

VALLEY STREAM

State

Zip

11581

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017