JIMMY KI HYUN PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

JIMMY

Middle

KI HYUN

Last Name

PARK

Business Name

JIMMY KI HYUN PARK MD

Original Issue Date

01/07/2004

Effective Date

01/07/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020