SCOTT J PARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033440

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

PARK

Business Name

SCOTT J PARK

Original Issue Date

10/12/2021

Effective Date

10/12/2021

Expiration Date

09/30/2024

City

MARIETTA

State

Zip

30067

Ever Disciplined

LastModifiedDate

02/04/2025