TONY J PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131305

License Status

NOT RENEWED

Business

Title

First Name

TONY

Middle

Last Name

PARK

Business Name

TONY J PARK MD

Original Issue Date

09/05/2012

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

PORTLAND

State

Zip

97213

County

OREGON

Ever Disciplined

LastModifiedDate

01/14/2021