MARY ANNE CLARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003941

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

CLARK

Business Name

MARY ANNE CLARK

Original Issue Date

07/26/1979

Effective Date

07/26/1979

Expiration Date

09/30/1984

City

POUGHKEEPSIE

State

Zip

12603

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005