Changsu Park
ExpiredCalifornia license 35532
License
- Licensed by
- Dental Board of California
- License number
- 35532
- Status
- Expired (Delinquent)
- First issued
- July 28, 1987
- Expired
- April 30, 2025
- License holder
- Changsu Park
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
10814 Pine Hill Rd
Mc Donald, TN 37353-4045
Mc Donald, TN 37353-4045
Hamilton County