JAE YOON PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

JAE YOON

Last Name

PARK

Business Name

JAE YOON PARK MD

Original Issue Date

08/14/2018

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023