PAUL D CLARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009827

License Status

NOT RENEWED

Business

First Name

PAUL D

Last Name

CLARK

Suffix

DDS

Business Name

PAUL D CLARK DDS

Original Issue Date

12/11/1950

Effective Date

12/11/1950

Expiration Date

09/30/1994

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005