KI HONG PARK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

Title

DMD

First Name

KI HONG

Last Name

PARK

Business Name

KI HONG PARK DMD

Original Issue Date

10/01/2022

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024