CHRISTOPHER SEYOUNG PARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078875

License Status

CANCELLED

Business

Title

First Name

CHRISTOPHER

Middle

SEYOUNG

Last Name

PARK

Business Name

CHRISTOPHER SEYOUNG PARK MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/26/2021