JAY MARSHALL SUVERKRUP DMD - Dentist License in Iowa | # 31*****25

JAY MARSHALL SUVERKRUP DMD

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

CANCELLED

Business

N

First Name

JAY MARSHALL

Last Name

SUVERKRUP

Suffix

DMD

Business Name

JAY MARSHALL SUVERKRUP DMD

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

State

IA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/17/2005