NANCY JAYNE CLARK - Dentist License in Illinois | # 020000217

NANCY JAYNE CLARK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000217

License Status

NOT RENEWED

Business

N

First Name

NANCY JAYNE

Last Name

CLARK

Business Name

NANCY JAYNE CLARK

Original Issue Date

07/29/1954

Effective Date

07/29/1954

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005