SUN O PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015086

License Status

EXPIRED

Business

First Name

SUN O

Last Name

PARK

Suffix

Business Name

SUN O PARK MD

Original Issue Date

12/20/1982

Effective Date

12/20/1982

Expiration Date

01/01/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006