QUENTIN GIN PARK OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009672

License Status

ACTIVE

Business

First Name

QUENTIN

Middle

GIN

Last Name

PARK

Suffix

Business Name

QUENTIN GIN PARK OD

Original Issue Date

06/24/2004

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

ADDISON

State

Zip

60101

Ever Disciplined

LastModifiedDate

03/17/2026