CHARLES C PARK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027458

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

PARK

Business Name

CHARLES C PARK

Original Issue Date

07/30/1991

Effective Date

07/30/1991

Expiration Date

07/28/1994

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/21/2014