JUN HWAN PARK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DMD

First Name

JUN HWAN

Last Name

PARK

Business Name

JUN HWAN PARK DMD

Original Issue Date

11/09/2023

Effective Date

06/08/2024

Expiration Date

09/30/2027

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2024