SUSAN S CLARKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000581

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

CLARKE

Business Name

SUSAN S CLARKE

Original Issue Date

07/29/1991

Effective Date

07/29/1991

Expiration Date

06/30/1993

City

RED HOOK

State

Zip

12571

County

NEW YORK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005