License holder summary

Clark, Crystal Michelle is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Clark, Crystal Michelle is 4427 Treadway Ln  63134. This licensed professional license is current. The license was granted 08/06/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Clark, Crystal Michelle
Dental - Expanded Function - Restorative I
License number
2013028957  
Date granted
08/06/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
4427 Treadway Ln 
licensingmissouri.org
ID 2031359
LAST UPDATED 2024-02-26 05:15:53 UTC

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