HOSAN PARK DDS - Dentist License in Washington | # 31*****86

HOSAN PARK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

HOSAN

Last Name

PARK

Business Name

HOSAN PARK DDS

Original Issue Date

09/28/2017

Effective Date

09/28/2017

Expiration Date

09/30/2018

State

WA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

N

LastModifiedDate

10/31/2018