YONG PARK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

YONG

Last Name

PARK

Suffix

DMD

Business Name

YONG PARK DMD

Original Issue Date

02/09/1982

Effective Date

02/09/1982

Expiration Date

09/30/1986

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005