BENNETT S PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

BENNETT S

Last Name

PARK

Suffix

Business Name

BENNETT S PARK MD

Original Issue Date

02/09/1983

Effective Date

05/20/2014

Expiration Date

07/31/2017

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017