JAE YOON PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147200

License Status

NOT RENEWED

Business

Title

First Name

JAE YOON

Last Name

PARK

Business Name

JAE YOON PARK MD

Original Issue Date

08/14/2018

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

ADAMS

Ever Disciplined

LastModifiedDate

11/30/2023