Delaware
Division of Professional Regulation
Carl H. Park
Controlled Substances - Physician Csr
License number
MD4288
Date granted
06/19/2003
Date expires
06/30/2015
Class
Controlled Substances - Physician Csr
Status
Active
Address
Bala Cynwyd PA 19004
delawarelicensing.com
ID 20541770
LAST UPDATED 2024-05-15 12:01:24 UTC
LAST UPDATED 2024-05-15 12:01:24 UTC
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