KELLY KYUNGHWA PARK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062516

License Status

EXPIRED

Business

Title

First Name

KELLY

Middle

KYUNGHWA

Last Name

PARK

Business Name

KELLY KYUNGHWA PARK MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

08/16/2016