SAMUEL JOON PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178331

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

JOON

Last Name

PARK

Business Name

SAMUEL JOON PARK MD

Original Issue Date

12/22/2025

Effective Date

12/22/2025

Expiration Date

07/31/2026

City

MINEOLA

State

Zip

11501

Ever Disciplined

LastModifiedDate

12/22/2025