JAE SUN PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035333

License Status

NOT RENEWED

Business

First Name

JAE

Middle

SUN

Last Name

PARK

Business Name

JAE SUN PARK

Original Issue Date

09/05/1984

Effective Date

03/03/2016

Expiration Date

03/31/2018

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018