SAMUEL S PARK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

PARK

Suffix

Business Name

SAMUEL S PARK MD

Original Issue Date

02/06/2025

Effective Date

02/06/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2025