KENDREA L CLARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011160

License Status

NOT RENEWED

Business

First Name

KENDREA

Middle

Last Name

CLARK

Business Name

KENDREA L CLARK

Original Issue Date

09/07/2004

Effective Date

09/25/2018

Expiration Date

01/31/2022

City

BALTIMORE

State

Zip

21223

County

MARYLAND

Ever Disciplined

LastModifiedDate

05/09/2022