SANG B PARK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000474

License Status

INACTIVE

Business

First Name

SANG

Middle

Last Name

PARK

Suffix

DDS

Business Name

SANG B PARK DDS

Original Issue Date

09/24/1999

Effective Date

09/24/1999

Expiration Date

09/30/2004

City

PALATINE

State

Zip

60074

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005