KENNETH TAIYOUNG PARK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016660

License Status

ACTIVE

Business

First Name

KENNETH

Middle

TAIYOUNG

Last Name

PARK

Business Name

KENNETH TAIYOUNG PARK

Original Issue Date

08/10/2019

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

Ever Disciplined

LastModifiedDate

08/01/2024