SANGTAE PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119572

License Status

ACTIVE

Business

First Name

SANGTAE

Last Name

PARK

Suffix

Business Name

SANGTAE PARK MD

Original Issue Date

10/19/2007

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

06/17/2023