License holder summary

Connie S. Clark is a Dental Hygienist licensed to practice in Indiana. The address on file for Connie S. Clark is Goshen IN 46526. This licensed professional license is current. The license was granted 06/18/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Connie S. Clark
Dental Hygienist
License number
13002634A
Date granted
06/18/1986
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Goshen IN 46526
indianalicensing.org
ID 5207389
LAST UPDATED 2024-04-12 08:30:12 UTC

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