SOON HO PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

SOON HO

Last Name

PARK

Suffix

Business Name

SOON HO PARK MD

Original Issue Date

04/05/1988

Effective Date

04/05/1988

Expiration Date

07/31/2008

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008