JOO HYOUNG PARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

JOO

Middle

HYOUNG

Last Name

PARK

Business Name

JOO HYOUNG PARK

Original Issue Date

10/30/2015

Effective Date

10/30/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018