MELISSA LEE PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168239

License Status

ACTIVE

Business

Title

First Name

MELISSA

Middle

LEE

Last Name

PARK

Business Name

MELISSA LEE PARK MD

Original Issue Date

01/11/2024

Effective Date

01/11/2024

Expiration Date

07/31/2026

City

PULLMAN

State

Zip

99163

Ever Disciplined

LastModifiedDate

01/11/2024