KAMRYN DIONNE CLARK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016961

License Status

ACTIVE

Business

First Name

KAMRYN

Middle

DIONNE

Last Name

CLARK

Business Name

KAMRYN DIONNE CLARK

Original Issue Date

09/11/2020

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/12/2024