HOSAN PARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031420

License Status

NOT RENEWED

Business

Title

DDS

First Name

HOSAN

Last Name

PARK

Business Name

HOSAN PARK DDS

Original Issue Date

09/28/2017

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

SEATTLE

State

Zip

98119

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022