SO EUN PARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032300

License Status

NOT RENEWED

Business

First Name

SO EUN

Last Name

PARK

Business Name

SO EUN PARK

Original Issue Date

07/29/2019

Effective Date

11/21/2021

Expiration Date

09/30/2024

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

02/04/2025