ANNE ELIZABETH PARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059436

License Status

CANCELLED

Business

Title

First Name

ANNE

Middle

ELIZABETH

Last Name

PARK

Business Name

ANNE ELIZABETH PARK MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

05/02/2014