SUSAN S CLARKE - Dentist License in New York | # 018000581

SUSAN S CLARKE

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000581

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

S

Last Name

CLARKE

Business Name

SUSAN S CLARKE

Original Issue Date

07/29/1991

Effective Date

07/29/1991

Expiration Date

06/30/1993

State

NY

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005