DANIEL KWANGWON PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049352

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

KWANGWON

Last Name

PARK

Business Name

DANIEL KWANGWON PARK MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

07/08/2010