HAN MYOUNG PARK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075462

License Status

CANCELLED

Business

Title

First Name

HAN MYOUNG

Last Name

PARK

Business Name

HAN MYOUNG PARK DO

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

09/21/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/21/2023