KATHY SUE CLARK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005414

License Status

INACTIVE

Business

First Name

KATHY SUE

Last Name

CLARK

Business Name

KATHY SUE CLARK

Original Issue Date

09/22/1983

Effective Date

09/22/1983

Expiration Date

09/30/1996

City

CALHAN

State

Zip

80808

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005