DAVID L CLEMENS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017489

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

CLEMENS

Suffix

DDS

Business Name

DAVID L CLEMENS DDS

Original Issue Date

10/20/1980

Effective Date

10/20/1980

Expiration Date

09/30/1992

City

OXFORD

State

Zip

53952

Ever Disciplined

LastModifiedDate

10/12/2005