SARAH J PARK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005653

License Status

NOT RENEWED

Business

Title

DPM

First Name

SARAH

Middle

Last Name

PARK

Business Name

SARAH J PARK DPM

Original Issue Date

05/28/2015

Effective Date

12/02/2016

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019