MARK CARY CLAYTON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000513

License Status

NOT RENEWED

Business

First Name

MARK

Middle

CARY

Last Name

CLAYTON

Suffix

DDS

Business Name

MARK CARY CLAYTON DDS

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

09/30/2002

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005