JONG TAE PARK - Physical Therapist License in Illinois | # 070011932

JONG TAE PARK

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011932

License Status

ACTIVE

Business

N

First Name

JONG TAE

Last Name

PARK

Business Name

JONG TAE PARK

Original Issue Date

05/09/2000

Effective Date

07/10/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2024