STEPHANIE A CLARKE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008279

License Status

INACTIVE

Business

First Name

STEPHANIE A

Last Name

CLARKE

Business Name

STEPHANIE A CLARKE

Original Issue Date

07/15/1994

Effective Date

08/31/2012

Expiration Date

09/30/2015

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

06/08/2015