JAE O PARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064559

License Status

INACTIVE

Business

First Name

JAE O

Last Name

PARK

Suffix

Business Name

JAE O PARK MD

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1987

City

HERMISTON

State

Zip

97838

County

OREGON

Ever Disciplined

LastModifiedDate

01/22/2014

Case Number

2013009482

Action

Refuse To Renew

Discipline Start Date

01/16/2014

Discipline Reason

after being disciplined by the state of Oregon.