MIN S PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

MIN

Middle

Last Name

PARK

Business Name

MIN S PARK MD

Original Issue Date

07/09/2025

Effective Date

07/09/2025

Expiration Date

07/31/2026

City

CHARLOTTESVILLE

State

Zip

22901

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2025