HYEKYUNG HELENA PAE PARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

HYEKYUNG

Middle

HELENA PAE

Last Name

PARK

Business Name

HYEKYUNG HELENA PAE PARK

Original Issue Date

09/29/1989

Effective Date

09/29/1989

Expiration Date

09/30/1992

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005