Gerald Moore Clark Dds
ExpiredIllinois license 019009257
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019009257
- Status
- Expired (Not Renewed)
- First issued
- August 4, 1947
- Expired
- September 30, 1984
- License holder
- Gerald Moore Clark Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/04/1947
Contact
Pocatello, ID 83201
Idaho County