FREDERICK K PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077876

License Status

NOT RENEWED

Business

First Name

FREDERICK K

Last Name

PARK

Suffix

Business Name

FREDERICK K PARK MD

Original Issue Date

09/19/1988

Effective Date

09/19/1988

Expiration Date

07/31/1993

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/25/2018