DENNIS EDGAR CLARK - Orthotist, Prosthetist, and Pedorthist License in Iowa | # 211000108

DENNIS EDGAR CLARK

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000108

License Status

NOT RENEWED

Business

N

First Name

DENNIS

Middle

EDGAR

Last Name

CLARK

Business Name

DENNIS EDGAR CLARK

Original Issue Date

01/29/2002

Effective Date

09/30/2005

Expiration Date

09/30/2007

State

IA

Ever Disciplined

N

LastModifiedDate

07/05/2007