JAMES PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017