James Parkinson was born in Shoreditch, London, England. He was the son of John Parkinson, an apothecary and surgeon practising in Hoxton Square in London. In 1784 Parkinson was approved by the City of London Corporation as a surgeon. He never became a physician, as many mistakenly call him.
On 21 May 1783, he married Mary Dale, with whom he subsequently had six children. Soon after he was married, Parkinson succeeded his father in his practice in 1 Hoxton Square. He believed that any worthwhile surgeon should know shorthand, at which he was adept.
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