BYUNG HAI PARK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

INACTIVE

Business

First Name

BYUNG HAI

Last Name

PARK

Suffix

Business Name

BYUNG HAI PARK MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

RACINE

State

Zip

53403

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006