BRIAN PARK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016159

License Status

ACTIVE

Business

First Name

BRIAN

Last Name

PARK

Business Name

BRIAN PARK

Original Issue Date

06/27/2018

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022