SOO H PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079867

License Status

NOT RENEWED

Business

First Name

SOO H

Last Name

PARK

Suffix

Business Name

SOO H PARK MD

Original Issue Date

05/05/1990

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

97405

County

OREGON

Ever Disciplined

LastModifiedDate

11/17/2014