SANGTAE PARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028825

License Status

NOT RENEWED

Business

Title

DDS

First Name

SANGTAE

Last Name

PARK

Business Name

SANGTAE PARK DDS

Original Issue Date

08/03/2011

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022