JEFFREY PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141270

License Status

NOT RENEWED

Business

First Name

JEFFREY

Last Name

PARK

Suffix

Business Name

JEFFREY PARK MD

Original Issue Date

07/19/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021