KENNETH EUIJUNG PARK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

KENNETH

Middle

EUIJUNG

Last Name

PARK

Business Name

KENNETH EUIJUNG PARK

Original Issue Date

03/12/2008

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026