License holder summary

Philip David Parks is a Physician licensed to practice in Indiana. The address on file for Philip David Parks is Boston MA 02118-1156. This licensed professional license is not current. The license was granted 09/23/2002 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Philip David Parks
Physician
License number
01056804A
Date granted
09/23/2002
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Boston MA 02118-1156
indianalicensing.org
ID 6031444
LAST UPDATED 2024-04-13 01:25:51 UTC

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