DENNIS C PARK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104272

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

PARK

Business Name

DENNIS C PARK

Original Issue Date

02/23/2001

Effective Date

02/23/2001

Expiration Date

07/31/2005

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006