JONATHON C PARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028929

License Status

NOT RENEWED

Business

First Name

JONATHON

Middle

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

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016