JAMIE Y PARK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

JAMIE

Middle

Last Name

PARK

Suffix

DDS

Business Name

JAMIE Y PARK DDS

Original Issue Date

09/19/2005

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024