DAWN R CLARK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012026

License Status

ACTIVE

Business

First Name

DAWN

Middle

Last Name

CLARK

Business Name

DAWN R CLARK

Original Issue Date

06/11/2007

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

09/02/2024