PAUL JOHN PARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065676

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

JOHN

Last Name

PARK

Business Name

PAUL JOHN PARK MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

03/31/2017