JACOB D SURJAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027120

License Status

INACTIVE

Business

First Name

JACOB

Middle

Last Name

SURJAN

Suffix

DDS

Business Name

JACOB D SURJAN DDS

Original Issue Date

06/29/2006

Effective Date

08/15/2018

Expiration Date

12/31/2021

City

BROOMFIELD

State

Zip

80023

Ever Disciplined

LastModifiedDate

09/22/2021