CHUNG DAE PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048030

License Status

NOT RENEWED

Business

First Name

CHUNG DAE

Last Name

PARK

Suffix

Business Name

CHUNG DAE PARK MD

Original Issue Date

08/23/1973

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017