MYUNG OK PARK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030083

License Status

NOT RENEWED

Business

Title

DMD

First Name

MYUNG

Middle

Last Name

PARK

Business Name

MYUNG OK PARK DMD

Original Issue Date

11/14/2014

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

LACEY

State

Zip

98516

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

05/09/2022