DAVID R PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029968

License Status

EXPIRED

Business

First Name

DAVID R

Last Name

PARK

Suffix

Business Name

DAVID R PARK MD

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/30/1996

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006