KEUM ZA PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056339

License Status

NOT RENEWED

Business

First Name

KEUM ZA

Last Name

PARK

Suffix

Business Name

KEUM ZA PARK MD

Original Issue Date

01/19/1978

Effective Date

05/04/2020

Expiration Date

07/31/2023

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023