DARLENE L CLARK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

DARLENE

Middle

Last Name

CLARK

Suffix

DMD

Business Name

DARLENE L CLARK DMD

Original Issue Date

01/02/1990

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024