JUNG KYUN PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043290

License Status

NOT RENEWED

Business

First Name

JUNG KYUN

Last Name

PARK

Suffix

Business Name

JUNG KYUN PARK MD

Original Issue Date

06/12/1970

Effective Date

06/12/1970

City

WISCONSIN RAPIDS

State

Zip

54494

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006