SOO H PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

SOO H

Last Name

PARK

Suffix

Business Name

SOO H PARK MD

Original Issue Date

09/24/1991

Effective Date

09/24/1991

Expiration Date

07/31/1996

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011