ROBIN S PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

ROBIN S

Last Name

PARK

Suffix

Business Name

ROBIN S PARK MD

Original Issue Date

06/07/1990

Effective Date

06/07/1990

Expiration Date

07/31/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006