JOHN W CLARK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

JOHN W

Last Name

CLARK

Suffix

DDS

Business Name

JOHN W CLARK DDS

Original Issue Date

11/15/1989

Effective Date

11/15/1989

Expiration Date

09/30/1992

City

DOVER-FOXCROFT

State

Zip

04426

County

MAINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005