REBECCA LYNN CLARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012335

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

LYNN

Last Name

CLARK

Business Name

REBECCA LYNN CLARK

Original Issue Date

12/18/2007

Effective Date

07/23/2009

Expiration Date

09/30/2012

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2012