HEATHER M CLARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009237

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

CLARK

Business Name

HEATHER M CLARK

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

09/30/2002

City

SAINT CHARLES

State

Zip

60174

Ever Disciplined

LastModifiedDate

10/17/2005