KI SOOK PARK KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056211

License Status

NOT RENEWED

Business

First Name

KI SOOK PARK

Last Name

KIM

Suffix

Business Name

KI SOOK PARK KIM MD

Original Issue Date

12/16/1977

Effective Date

12/16/1977

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/10/2009