JAMES YU PARK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053529

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

Last Name

PARK

Business Name

JAMES YU PARK DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/07/2007