DEAN M PARK - Dentist License in Illinois | # 019020375

DEAN M PARK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020375

License Status

NOT RENEWED

Business

N

First Name

DEAN M

Last Name

PARK

Business Name

DEAN M PARK

Original Issue Date

10/08/1986

Effective Date

10/01/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

Y

LastModifiedDate

05/27/2022

Case Number

2016003370

Action

Suspension

Discipline Start Date

07/01/2016

Discipline End Date

10/13/2016

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 10/14/2016.