CLARK A DIXON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

CLARK A

Last Name

DIXON

Suffix

DMD

Business Name

CLARK A DIXON DMD

Original Issue Date

09/03/1991

Effective Date

07/24/2024

Expiration Date

09/30/2027

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2024