JEFFREY PARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065218

License Status

CANCELLED

Business

First Name

JEFFREY

Last Name

PARK

Suffix

Business Name

JEFFREY PARK MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

City

CHICAGO

State

Zip

60610

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/25/2014