JIMMY KI HYUN PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

JIMMY

Middle

KI HYUN

Last Name

PARK

Business Name

JIMMY KI HYUN PARK MD

Original Issue Date

03/22/2004

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023