DAVID HARYONG PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

DAVID

Middle

HARYONG

Last Name

PARK

Suffix

Business Name

DAVID HARYONG PARK MD

Original Issue Date

07/11/2005

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023