FREDERICK K PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021355

License Status

EXPIRED

Business

First Name

FREDERICK K

Last Name

PARK

Suffix

Business Name

FREDERICK K PARK MD

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/01/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006