License holder summary

Patricia H. Clark, D.D.S., M.S.D. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Patricia H. Clark, D.D.S., M.S.D. is 221 South 19th Street, Terre Haute IN 47807-4195. This licensed professional license is current. The license was granted 09/23/2005 and expired on 10/23/2016.

Indiana

Professional Licensing Agency

Patricia H. Clark, D.D.S., M.S.D.
Radiology - Radiation Facility Dental
License number
XF902349
Date granted
09/23/2005
Date expires
10/23/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
221 South 19th Street, Terre Haute IN 47807-4195
indianalicensing.org
ID 24935919
LAST UPDATED 2024-04-12 22:19:10 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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