KWANG S PARK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013703

License Status

EXPIRED

Business

First Name

KWANG

Middle

Last Name

PARK

Business Name

KWANG S PARK

Original Issue Date

03/05/1982

Effective Date

03/05/1982

Expiration Date

02/24/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006