HYEKYUNG HELENA PAE PARK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

HYEKYUNG

Middle

HELENA PAE

Last Name

PARK

Business Name

HYEKYUNG HELENA PAE PARK

Original Issue Date

08/05/2020

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2024