DEAN K PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041281

License Status

EXPIRED

Business

First Name

DEAN

Middle

Last Name

PARK

Suffix

Business Name

DEAN K PARK MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2003

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006