STEVEN H CLARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

CLARK

Suffix

DDS

Business Name

STEVEN H CLARK DDS

Original Issue Date

08/25/1983

Effective Date

08/25/1983

Expiration Date

09/30/1998

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005