JIMMY KI HYUN PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040819

License Status

EXPIRED

Business

Title

First Name

JIMMY

Middle

KI HYUN

Last Name

PARK

Business Name

JIMMY KI HYUN PARK MD

Original Issue Date

06/16/2000

Effective Date

06/16/2000

Expiration Date

06/15/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006