License holder summary

Chanwang Park is a Medical Residency Permit licensed to practice in Indiana. The address on file for Chanwang Park is Carmel IN 46032. This licensed professional license is not current. The license was granted 05/10/2010 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Chanwang Park
Medical Residency Permit
License number
11015365A
Date granted
05/10/2010
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Superceded
Address
Carmel IN 46032
indianalicensing.org
ID 5970992
LAST UPDATED 2024-03-12 21:59:47 UTC

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