AMANDA PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158292

License Status

ACTIVE

Business

Title

First Name

AMANDA

Last Name

PARK

Business Name

AMANDA PARK MD

Original Issue Date

09/16/2021

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2023