CHAD C PARK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025968

License Status

INACTIVE

Business

First Name

CHAD

Middle

Last Name

PARK

Suffix

DDS

Business Name

CHAD C PARK DDS

Original Issue Date

09/17/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DALLAS

State

Zip

75205

County

TEXAS

Ever Disciplined

LastModifiedDate

07/24/2006