NAM H PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

NAM

Middle

Last Name

PARK

Suffix

Business Name

NAM H PARK MD

Original Issue Date

09/27/2001

Effective Date

07/22/2013

Expiration Date

07/31/2014

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020