SANG B PARK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

SANG

Middle

Last Name

PARK

Suffix

DDS

Business Name

SANG B PARK DDS

Original Issue Date

08/24/1999

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024