License Search: Details

Name Title Specialty Certified Primary Practice Location Licensed Or Has Been Licensed In
Thomas June Park MD Verify Specialty Certification
,
NJ, NV, NY, WA

License History

License Type License Number Status License Date Expiration Date
PMD 11121 Revoked by Board 05/02/1977 01/14/1994

Education History

School Date Completed Nature of Training
College Of Medicine, Seoul National University 02/26/1963 Medical or Podiatric School
St Claires Hospital Health Ctr, Nyc 06/30/1973 Post-Graduate Training
Methodist Hospital, Brooklyn 6/30/1967 Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action Type of Action Action Date Public Documents
Yes Revocation of License 01/10/1994

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/20/2026.