Agatha Lee Park Md
InactiveIllinois license 036042638
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036042638
- Status
- Inactive
- First issued
- July 7, 1969
- Expired
- July 31, 1987
- License holder
- Agatha Lee Park Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 07/07/1969
Contact
St Louis, MO 63136
Missouri County