TAE-SHIK PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062510

License Status

EXPIRED

Business

First Name

TAE-SHIK

Last Name

PARK

Suffix

Business Name

TAE-SHIK PARK MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

06/26/2016

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016