EUN HA KRISTEN PARK - Physical Therapist License in Illinois | # 070005077

EUN HA KRISTEN PARK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005077

License Status

NOT RENEWED

Business

N

First Name

EUN HA KRISTEN

Last Name

PARK

Business Name

EUN HA KRISTEN PARK

Original Issue Date

05/04/1987

Effective Date

05/04/1987

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005