CHRISTOPHER ALLEN PARKS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000121

License Status

EXPIRED

Business

First Name

CHRISTOPHER

Middle

ALLEN

Last Name

PARKS

Business Name

CHRISTOPHER ALLEN PARKS

Original Issue Date

10/04/2006

Effective Date

10/04/2006

Expiration Date

10/04/2009

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2009