KENNETH EUIJUNG PARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003022

License Status

ACTIVE

Business

First Name

KENNETH

Middle

EUIJUNG

Last Name

PARK

Business Name

KENNETH EUIJUNG PARK

Original Issue Date

08/16/2007

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

NIXA

State

Zip

65714

Ever Disciplined

LastModifiedDate

01/09/2026