CHRIS TAEGYUM PARK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DDS

First Name

CHRIS

Middle

TAEGYUM

Last Name

PARK

Business Name

CHRIS TAEGYUM PARK DDS

Original Issue Date

07/19/2022

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60610

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2024