ANTHONY RHODEN CLARK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026688

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

RHODEN

Last Name

CLARK

Suffix

DMD

Business Name

ANTHONY RHODEN CLARK DMD

Original Issue Date

04/27/2005

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

LOUISVILLE

State

Zip

40207

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/08/2006