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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 8, 2024 8:59 AM CDT
Next Update: Wednesday, May 8, 2024 12:00 PM CDT

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PARK, TAE SUNG
Practice Address: ST LOUIS CHILDREN'S HOSPITAL
ONE CHILDREN'S PLACE
SUITE 4520
ST LOUIS MO 63110

Address last updated on 5/22/2020
Phone #: (314) 454-2816
Fax #:
County: NOT OKLAHOMA
License: 36949
Dated: 5/22/2020
Expires: 6/13/2020
License Type: Medical Doctor
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year: 2023
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST LOUIS CHILDREN'S HOSPITAL
ONE CHILDREN'S PLACE
SUITE 4520
ST LOUIS MO 63110

Phone #: (314) 454-2816
Fax #:

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