EUGENE S CLARKE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

EUGENE S

Last Name

CLARKE

Suffix

DDS

Business Name

EUGENE S CLARKE DDS

Original Issue Date

01/01/1998

Effective Date

08/01/2018

Expiration Date

01/31/2022

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022