GLORIA HEESUN PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053064

License Status

EXPIRED

Business

First Name

GLORIA

Middle

HEESUN

Last Name

PARK

Suffix

Business Name

GLORIA HEESUN PARK MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/24/2010