License holder summary

LEEANNE PARK is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for LEEANNE PARK is Philadelphia PA 19125. This medical practitioner license is current. The license was granted 04/15/2015 and expired on 06/17/2016.

Department of State

Board of Medicine

LEEANNE PARK
Graduate Medical Trainee
License number
MT208060
Date granted
04/15/2015
Date expires
06/17/2016
Class
Graduate Medical Trainee
Status
Active
Address
Philadelphia PA 19125
medicinepa.com
ID 37560479
LAST UPDATED 2024-02-04 23:43:27 UTC

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