DALE CARLTON CLARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000471

License Status

NOT RENEWED

Business

First Name

DALE CARLTON

Last Name

CLARK

Suffix

DDS

Business Name

DALE CARLTON CLARK DDS

Original Issue Date

11/23/1965

Effective Date

11/23/1965

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/13/2005