License Directory

Jai Sook Park Md

Inactive

Illinois license 036054036

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036054036
Status
Inactive
First issued
December 21, 1976
Expired
July 31, 2014
License holder
Jai Sook Park
Entity type
Individual

Classifications

More from the license record

Current term began
06/20/2011

Contact

Waterloo, IL 62298
Monroe County