STEVEN H CLARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000336

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

CLARK

Suffix

DDS

Business Name

STEVEN H CLARK DDS

Original Issue Date

06/25/1993

Effective Date

06/25/1993

Expiration Date

09/30/1994

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005