GEONWOONG PARK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035398

License Status

ACTIVE

Business

Title

DDS

First Name

GEONWOONG

Last Name

PARK

Business Name

GEONWOONG PARK DDS

Original Issue Date

07/23/2024

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/29/2024