KWONIL PARK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026108

License Status

INACTIVE

Business

First Name

KWONIL

Last Name

PARK

Suffix

DDS

Business Name

KWONIL PARK DDS

Original Issue Date

05/23/2003

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

SUWANEE

State

Zip

30024

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/02/2009