MARK CARY CLAYTON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

MARK

Middle

CARY

Last Name

CLAYTON

Suffix

DDS

Business Name

MARK CARY CLAYTON DDS

Original Issue Date

09/29/2000

Effective Date

09/29/2000

Expiration Date

09/30/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005