ELLIE PARK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033240

License Status

ACTIVE

Business

Title

DMD

First Name

ELLIE

Last Name

PARK

Business Name

ELLIE PARK DMD

Original Issue Date

06/21/2021

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2024