HYEKYUNG HELENA PAE PARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000374

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005