LYLAN S PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099146

License Status

NOT RENEWED

Business

First Name

LYLAN

Middle

Last Name

PARK

Suffix

Business Name

LYLAN S PARK MD

Original Issue Date

09/30/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

03/12/2013