License holder summary

KIE JUNG PARK is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for KIE JUNG PARK is BEHAVIORAL HEALTH SERVICES OF WYOMING VALLEY 562 WYOMING AVENUE Kingston PA 18704. This licensed professional license is not current. The license was granted 06/12/2006.

Pennsylvania

Department of State

KIE JUNG PARK
Medicine - Written Agreement
License number
MX005163
Date granted
06/12/2006
Class
Medicine - Written Agreement
Status
Inactive
Address
BEHAVIORAL HEALTH SERVICES OF WYOMING VALLEY 562 WYOMING AVENUE Kingston PA 18704
palicensing.org
ID 16663802
LAST UPDATED 2024-03-21 04:48:35 UTC

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