KYLE ALLEN CLARK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030831

License Status

ACTIVE

Business

Title

DMD

First Name

KYLE

Middle

ALLEN

Last Name

CLARK

Business Name

KYLE ALLEN CLARK DMD

Original Issue Date

07/06/2016

Effective Date

07/08/2024

Expiration Date

09/30/2027

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

07/08/2024