CHINYOUNG PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

CHINYOUNG

Last Name

PARK

Suffix

Business Name

CHINYOUNG PARK MD

Original Issue Date

02/18/2021

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023