CLARK MITCHELL STANFORD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029984

License Status

ACTIVE

Business

First Name

CLARK

Middle

MITCHELL

Last Name

STANFORD

Business Name

CLARK MITCHELL STANFORD

Original Issue Date

07/29/2014

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2024