YOUNG SOO PARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

Title

First Name

YOUNG

Middle

SOO

Last Name

PARK

Business Name

YOUNG SOO PARK MD

Original Issue Date

01/01/1997

Effective Date

08/24/2018

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021