MARGARET ANNE PARK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005319

License Status

NOT RENEWED

Business

First Name

MARGARET

Middle

ANNE

Last Name

PARK

Business Name

MARGARET ANNE PARK

Original Issue Date

10/14/2014

Effective Date

10/14/2014

Expiration Date

03/01/2016

City

NASHVILLE

State

Zip

37204

Ever Disciplined

LastModifiedDate

12/26/2023