STEVEN H CLARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000350

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

CLARK

Suffix

DDS

Business Name

STEVEN H CLARK DDS

Original Issue Date

02/09/1994

Effective Date

02/09/1994

Expiration Date

09/30/1998

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/13/2005