OLIVIA JIEUN PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060761

License Status

EXPIRED

Business

First Name

OLIVIA

Middle

JIEUN

Last Name

PARK

Suffix

Business Name

OLIVIA JIEUN PARK MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

09/04/2015