CARLY FRANCES PARK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030914

License Status

NOT RENEWED

Business

Title

DMD

First Name

CARLY

Middle

FRANCES

Last Name

PARK

Business Name

CARLY FRANCES PARK DMD

Original Issue Date

08/01/2016

Effective Date

06/15/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022