ANTHONY JOON-YUP PARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098900

License Status

INACTIVE

Business

First Name

ANTHONY

Middle

JOON-YUP

Last Name

PARK

Suffix

Business Name

ANTHONY JOON-YUP PARK MD

Original Issue Date

08/26/1998

Effective Date

08/26/1998

Expiration Date

07/31/2002

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006