CRISTINA PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

CRISTINA

Last Name

PARK

Business Name

CRISTINA PARK MD

Original Issue Date

08/07/2014

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

COCONUT GROVE

State

Zip

33133

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021