License holder summary

LISA PARK is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for LISA PARK is Leonia NJ 07605. This medical practitioner license is not current. The license was granted 01/11/2005 and expired on 12/31/2008.

Department of State

Board of Medicine

LISA PARK
Medical Physician And Surgeon
License number
MD425623
Date granted
01/11/2005
Date expires
12/31/2008
Class
Medical Physician And Surgeon
Status
Expired
Address
Leonia NJ 07605
medicinepa.com
ID 37660108
LAST UPDATED 2024-04-12 03:24:44 UTC

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