Emilie J Clark
InactiveIllinois license 020000539
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020000539
- Status
- Inactive
- First issued
- July 24, 1961
- Expired
- September 30, 1992
- License holder
- Emilie J Clark
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/24/1961
Contact
Beloit, WI 53511
Wisconsin County