INAH PARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

INAH

Last Name

PARK

Suffix

DDS

Business Name

INAH PARK DDS

Original Issue Date

07/11/2003

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009