MARK CARY CLAYTON DDS - Dentist License in Illinois | # 137000513

MARK CARY CLAYTON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000513

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

CARY

Last Name

CLAYTON

Suffix

DDS

Business Name

MARK CARY CLAYTON DDS

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/17/2005