ANNE ELIZABETH PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136437

License Status

NOT RENEWED

Business

Title

First Name

ANNE

Middle

ELIZABETH

Last Name

PARK

Business Name

ANNE ELIZABETH PARK MD

Original Issue Date

09/08/2014

Effective Date

09/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017