KI Y PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017751

License Status

EXPIRED

Business

First Name

KI Y

Last Name

PARK

Suffix

Business Name

KI Y PARK MD

Original Issue Date

02/22/1985

Effective Date

02/22/1985

Expiration Date

01/16/1987

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006