JEONG MI PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

JEONG

Middle

Last Name

PARK

Business Name

JEONG MI PARK MD

Original Issue Date

01/27/2015

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021