SOO H PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

SOO H

Last Name

PARK

Suffix

Business Name

SOO H PARK MD

Original Issue Date

06/07/1990

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011