LALA PARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071102

License Status

CANCELLED

Business

Title

First Name

LALA

Last Name

PARK

Business Name

LALA PARK MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

01/16/2020