Delaware
Division of Professional Regulation
Lisa Park
Medical Practice - Physician M.D.
License number
C1-0007678
Date granted
06/07/2005
Date expires
03/31/2009
Class
Medical Practice - Physician M.D.
Status
Expired
Address
Leonia NJ 07605
delawarelicensing.com
ID 20592215
LAST UPDATED 2026-03-21 23:18:53 UTC
LAST UPDATED 2026-03-21 23:18:53 UTC
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