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
LAST UPDATED 2024-03-21 04:48:35 UTC
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