License holder summary

CHANG SOON PARK is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for CHANG SOON PARK is ALLENTOWN PA 18103. This licensed professional license is current. The license was granted 12/04/2015 and expired on 03/31/2017.

Pennsylvania

Department of State

CHANG SOON PARK
Dentistry - Anesthesia Permit - Restricted II
License number
DN002304
Date granted
12/04/2015
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
ALLENTOWN PA 18103
palicensing.org
ID 37415308
LAST UPDATED 2024-03-11 02:05:38 UTC

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