JASON PARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032505

License Status

NOT RENEWED

Business

Title

DDS

First Name

JASON

Last Name

PARK

Business Name

JASON PARK DDS

Original Issue Date

02/25/2020

Effective Date

02/25/2020

Expiration Date

01/31/2022

City

BELLEVUE

State

Zip

98004

Ever Disciplined

LastModifiedDate

05/09/2022