DENNIS C PARK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038177

License Status

EXPIRED

Business

First Name

DENNIS

Middle

Last Name

PARK

Business Name

DENNIS C PARK

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006