DALE GLEN CLAUSSEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015844

License Status

NOT RENEWED

Business

First Name

DALE GLEN

Last Name

CLAUSSEN

Suffix

DMD

Business Name

DALE GLEN CLAUSSEN DMD

Original Issue Date

05/02/1977

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022