PATRICIA MCCUBBINS PARK - Dentist License in Illinois | # 020004993

PATRICIA MCCUBBINS PARK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004993

License Status

NOT RENEWED

Business

N

First Name

PATRICIA

Middle

MCCUBBINS

Last Name

PARK

Business Name

PATRICIA MCCUBBINS PARK

Original Issue Date

08/03/1982

Effective Date

06/19/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016