MYLES RICHARD CLANCY DMD - Dentist License in Illinois | # 019030836

MYLES RICHARD CLANCY DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030836

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

MYLES

Middle

RICHARD

Last Name

CLANCY

Business Name

MYLES RICHARD CLANCY DMD

Original Issue Date

07/07/2016

Effective Date

07/07/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018