License holder summary

Brian Park is a Physician licensed to practice in Indiana. The address on file for Brian Park is Arlington VA 22204. This licensed professional license is not current. The license was granted 03/25/2004 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Brian Park
Physician
License number
01058879A
Date granted
03/25/2004
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Arlington VA 22204
indianalicensing.org
ID 6024057
LAST UPDATED 2026-03-27 12:41:13 UTC

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