DEAN K PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109005

License Status

NOT RENEWED

Business

First Name

DEAN

Middle

Last Name

PARK

Suffix

Business Name

DEAN K PARK MD

Original Issue Date

04/15/2003

Effective Date

04/15/2003

Expiration Date

07/31/2005

City

NASHVILLE

State

Zip

37205

Ever Disciplined

LastModifiedDate

03/22/2007