JONI E CLARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012035

License Status

NOT RENEWED

Business

First Name

JONI

Middle

Last Name

CLARK

Business Name

JONI E CLARK

Original Issue Date

06/12/2007

Effective Date

07/23/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012