AMY LING CLARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004266

License Status

NOT RENEWED

Business

First Name

AMY LING

Last Name

CLARK

Business Name

AMY LING CLARK

Original Issue Date

07/30/1980

Effective Date

07/30/1980

Expiration Date

09/30/1988

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/12/2005