License Surrender
(Inactivated and/or Expired Medical License/Registration)
| NAME | AUTHORIZATION NUMBER | EFFECTIVE DATE |
|---|---|---|
| Rice, Roselyn | 209244-3B | 7/14/08 |
| Dobson, Chauncey H. | 080947-5B | 6/23/09 |
| Serviss, Allan Roger | 204464-2B | 10/20/09 |
| Covey, Alan H. | 081919-3B | 12/29/09 |
| Anwar, Romilla | 195639-0B | 4/12/10 |
| Park, Jae Ook | 130080-5B | 7/31/10 * |
* Dr. Park's WCB authorization was removed effective 5/23/10.
| 