EDWARD CLARK SAMPLES DDS - Dentist License in California | # 019013200

EDWARD CLARK SAMPLES DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013200

License Status

NOT RENEWED

Business

N

First Name

EDWARD CLARK

Last Name

SAMPLES

Suffix

DDS

Business Name

EDWARD CLARK SAMPLES DDS

Original Issue Date

07/20/1967

Effective Date

07/20/1967

Expiration Date

09/30/1984

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005