WYATT KAY PARKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

WYATT KAY

Last Name

PARKE

Business Name

WYATT KAY PARKE

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

MARENGO

State

Zip

60152

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005