CHONG SUN PARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015233

License Status

NOT RENEWED

Business

First Name

CHONG SUN

Last Name

PARK

Suffix

DDS

Business Name

CHONG SUN PARK DDS

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005