JUSTINE E PARKER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140122

License Status

NOT RENEWED

Business

Title

First Name

JUSTINE

Middle

Last Name

PARKER

Business Name

JUSTINE E PARKER DO

Original Issue Date

03/24/2016

Effective Date

03/24/2016

Expiration Date

07/31/2017

City

FLORENCE

State

Zip

97439

Ever Disciplined

LastModifiedDate

11/01/2017