Sam Park
ExpiredIllinois license 137000572
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 137000572
- Status
- Expired (Not Renewed)
- First issued
- October 16, 2002
- Expired
- September 30, 2018
- License holder
- Sam Park
- Entity type
- Individual
Classifications
- Dental Sedation Permit Dental
More from the license record
- Specialty
- Conscious Sedation, Parenteral
- Current term began
- 06/12/2015
Other Illinois licenses under this name
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Contact
Chicago, IL 60616
Cook County