BROOKE M CLARK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008586

License Status

ACTIVE

Business

First Name

BROOKE M

Last Name

CLARK

Business Name

BROOKE M CLARK

Original Issue Date

08/22/1995

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/25/2025