JUN SOO PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

JUN SOO

Last Name

PARK

Business Name

JUN SOO PARK MD

Original Issue Date

12/10/2022

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

06/02/2023