JONATHON C PARK DDS - Dentist License in Illinois | # 019028929

JONATHON C PARK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028929

License Status

NOT RENEWED

Business

N

First Name

JONATHON

Middle

C

Last Name

PARK

Suffix

DDS

Business Name

JONATHON C PARK DDS

Original Issue Date

02/21/2012

Effective Date

07/10/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016