Park, Tai Jin
Medicine And Surgery
Wisconsin 21509-20 Deceased
This Wisconsin license was held by Park, Tai Jin. The license is no longer active. It was granted on 04/21/1978 and expired on 10/31/2007
LICENSE DETAILS
- License Number: 21509-20
- Category: Medicine And Surgery
- Status: Deceased
- Date Granted: 04/21/1978 (about 47 years ago)
- Expiry Date: 10/31/2007 (over 17 years ago)