SAM PARK - Dentist License in Illinois | # 021002099

SAM PARK

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002099

License Status

ACTIVE

Business

N

First Name

SAM

Last Name

PARK

Business Name

SAM PARK

Original Issue Date

08/10/2004

Effective Date

05/01/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

05/01/2024