ROBERT TAEKYU PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

TAEKYU

Last Name

PARK

Suffix

Business Name

ROBERT TAEKYU PARK MD

Original Issue Date

09/16/1998

Effective Date

09/16/1998

Expiration Date

07/31/1999

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006