SAMUEL S PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

PARK

Suffix

Business Name

SAMUEL S PARK MD

Original Issue Date

04/17/2025

Effective Date

04/17/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60603

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/24/2026