TAI WUN PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052144

License Status

NOT RENEWED

Business

First Name

TAI WUN

Last Name

PARK

Suffix

Business Name

TAI WUN PARK MD

Original Issue Date

11/14/1975

Effective Date

07/31/2017

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021