MARISSA ANN MARIE CLARK - Dentist License in Illinois | # 020016142

MARISSA ANN MARIE CLARK

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016142

License Status

ACTIVE

Business

N

First Name

MARISSA

Middle

ANN MARIE

Last Name

CLARK

Business Name

MARISSA ANN MARIE CLARK

Original Issue Date

06/13/2018

Effective Date

05/01/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/28/2024