NANCY JAYNE CLARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000217

License Status

NOT RENEWED

Business

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

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005