STEVEN H CLARK DDS - Dentist License in Illinois | # 137000350

STEVEN H CLARK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000350

License Status

NOT RENEWED

Business

N

First Name

STEVEN

Middle

H

Last Name

CLARK

Suffix

DDS

Business Name

STEVEN H CLARK DDS

Original Issue Date

02/09/1994

Effective Date

02/09/1994

Expiration Date

09/30/1998

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/13/2005