SANGTAE PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

SANGTAE

Last Name

PARK

Suffix

Business Name

SANGTAE PARK MD

Original Issue Date

10/22/2007

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023