SE JUNG PARK DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001610

License Status

EXPIRED

Business

First Name

Middle

JUNG

Last Name

PARK

Suffix

DDS

Business Name

SE JUNG PARK DDS

Original Issue Date

09/05/2006

Effective Date

08/01/2007

Expiration Date

07/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

07/31/2008