Simon Park Dmd
ExpiredIllinois license 175000022
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 175000022
- Status
- Expired
- First issued
- January 25, 2024
- Expired
- December 31, 2024
- License holder
- Simon Park
- Entity type
- Individual
Classifications
- Temporary Permit for Visiting Dentist for Free Dental Care Dental
More from the license record
- Current term began
- 01/25/2024
Contact
Prescott Valley, AZ 86314