SEON GYU PARK DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001521

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005