HENNA SHIM PARK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075727

License Status

EXPIRED

Business

Title

First Name

HENNA

Middle

SHIM

Last Name

PARK

Business Name

HENNA SHIM PARK DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/06/2024