SEA MI PARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071553

License Status

CANCELLED

Business

Title

First Name

SEA

Middle

Last Name

PARK

Business Name

SEA MI PARK MD

Original Issue Date

07/13/2017

Effective Date

07/13/2017

Expiration Date

07/12/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neuro-Endovascular Neurological Surgery

Ever Disciplined

LastModifiedDate

07/13/2017