CHUNG DAE PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

CHUNG DAE

Last Name

PARK

Suffix

Business Name

CHUNG DAE PARK MD

Original Issue Date

01/01/1997

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017