SARAH J PARK DPM - Podiatrist License in Illinois | # 016005653

SARAH J PARK DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005653

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

SARAH

Middle

J

Last Name

PARK

Business Name

SARAH J PARK DPM

Original Issue Date

05/28/2015

Effective Date

12/02/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019