JASON Y S PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050231

License Status

NOT RENEWED

Business

First Name

JASON Y S

Last Name

PARK

Suffix

Business Name

JASON Y S PARK MD

Original Issue Date

11/26/1974

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

IVANHOE

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017