CHRISTINE Y PARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

PARK

Suffix

DDS

Business Name

CHRISTINE Y PARK DDS

Original Issue Date

06/27/2007

Effective Date

06/27/2007

Expiration Date

09/30/2009

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009