STEPHEN SANG-JIN PARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063237

License Status

CANCELLED

Business

Title

First Name

STEPHEN

Middle

SANG-JIN

Last Name

PARK

Business Name

STEPHEN SANG-JIN PARK MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/22/2016