CHRISTINE SANG-SHIN PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

SANG-SHIN

Last Name

PARK

Suffix

Business Name

CHRISTINE SANG-SHIN PARK MD

Original Issue Date

10/18/2004

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023