JENNIFER PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145774

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Last Name

PARK

Business Name

JENNIFER PARK MD

Original Issue Date

04/19/2018

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10010

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021