WILLIAM T PARKS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000510

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

PARKS

Suffix

III DMD

Business Name

WILLIAM T PARKS MD

Original Issue Date

10/22/1990

Effective Date

10/22/1990

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005