KELLY ANN CLARK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011120

License Status

ACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

CLARK

Business Name

KELLY ANN CLARK

Original Issue Date

08/06/2004

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2024