ALEXIS L CLARK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013767

License Status

INACTIVE

Business

First Name

ALEXIS

Middle

Last Name

CLARK

Business Name

ALEXIS L CLARK

Original Issue Date

08/18/2011

Effective Date

10/15/2012

Expiration Date

09/30/2015

City

KEOKUK

State

Zip

52632

County

IOWA

Ever Disciplined

LastModifiedDate

06/08/2015