SEON GYU PARK DDS - Dentist License in Illinois | # 018001521

SEON GYU PARK DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001521

License Status

EXPIRED

Business

N

First Name

SEON

Middle

GYU

Last Name

PARK

Suffix

DDS

Business Name

SEON GYU PARK DDS

Original Issue Date

10/04/2004

Effective Date

10/04/2004

Expiration Date

07/31/2005

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005