Tracey Lynn Clark
ExpiredIllinois license 020009614
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020009614
- Status
- Expired (Not Renewed)
- First issued
- August 27, 1999
- Expired
- September 30, 2002
- License holder
- Tracey Lynn Clark
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/27/1999
Contact
Hammond, IN 46323
Indiana County