TANNER JAY CLARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002508

License Status

NOT RENEWED

Business

Title

DDS

First Name

TANNER

Middle

JAY

Last Name

CLARK

Business Name

TANNER JAY CLARK DDS

Original Issue Date

05/16/2013

Effective Date

05/16/2013

Expiration Date

09/30/2015

City

IOWA CITY

State

Zip

52246

County

IOWA

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

02/08/2016