INAH PARK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

INAH

Last Name

PARK

Suffix

DDS

Business Name

INAH PARK DDS

Original Issue Date

09/15/2006

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024