Philip Ezra Clark Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019013326

Status

Expired (Not Renewed)

First issued

July 16, 1968

Expired

September 30, 2009

License holder

Philip Ezra Clark Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

10/01/2006

Other Illinois licenses under this name

• IL
  Philip Ezra Clark Dds

  License 31*****72

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Quincy, IL

  Expired Sep 30, 2009

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