Idaho
Division of Occupational and Professional Licenses
SUNGJIN PARK
Board Of Medicine
License number
PAT-1112
Date granted
09/11/2013
Date expires
08/07/2015
Class
Board Of Medicine
Status
Expired
Address
1477 BARTZ WAY STOP 8625 POCATELLO ID 83209
idaholicensing.com
ID 48362112
LAST UPDATED 2026-04-13 23:37:09 UTC
LAST UPDATED 2026-04-13 23:37:09 UTC
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