EDWARD J PARK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064478

License Status

EXPIRED

Business

Title

First Name

EDWARD

Middle

Last Name

PARK

Business Name

EDWARD J PARK DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

10/02/2019