HYEKYUNG HELENA PAE PARK - Dentist License in Illinois | # 018000374

HYEKYUNG HELENA PAE PARK

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000374

License Status

NOT RENEWED

Business

N

First Name

HYEKYUNG

Middle

HELENA PAE

Last Name

PARK

Business Name

HYEKYUNG HELENA PAE PARK

Original Issue Date

07/05/1989

Effective Date

07/05/1989

Expiration Date

06/30/1990

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005