CARLY FRANCES PARK DMD - Dentist License in Illinois | # 019030914

CARLY FRANCES PARK DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030914

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022