DALE CARLTON CLARK DDS - Dentist License in Illinois | # 021000471

DALE CARLTON CLARK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000471

License Status

NOT RENEWED

Business

N

First Name

DALE CARLTON

Last Name

CLARK

Suffix

DDS

Business Name

DALE CARLTON CLARK DDS

Original Issue Date

11/23/1965

Effective Date

11/23/1965

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/13/2005