EDWARD CLARK SAMPLES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013200

License Status

NOT RENEWED

Business

First Name

EDWARD CLARK

Last Name

SAMPLES

Suffix

DDS

Business Name

EDWARD CLARK SAMPLES DDS

Original Issue Date

07/20/1967

Effective Date

07/20/1967

Expiration Date

09/30/1984

City

ROLLING HILLS ESTS

State

Zip

90274

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005