JULIANA Y PARK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026218

License Status

EXPIRED

Business

First Name

JULIANA

Middle

Last Name

PARK

Business Name

JULIANA Y PARK

Original Issue Date

04/22/1991

Effective Date

04/22/1991

Expiration Date

06/19/1992

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006