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| Physician Records |
| Physician Last Name: | Park | |||
| Physician First Name: | John | |||
| Physician Middle Name: | H | |||
| Address: | 142-05 Roosevelt Avenue Flushing, New York 11354 | |||
| License Number: | 110946 | |||
| License Type: | MD | |||
| Year of Birth: | 1938 | |||
| Effective Date: | 01/17/2002 | |||
| Action Description for DOH Webpage: | License surrender | |||
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of negligence on more than one occasion | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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