MYLES RICHARD CLANCY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030836

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018