EMILIE J CLARK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000539

License Status

INACTIVE

Business

First Name

EMILIE J

Last Name

CLARK

Business Name

EMILIE J CLARK

Original Issue Date

07/24/1961

Effective Date

07/24/1961

Expiration Date

09/30/1992

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005