JAY MARSHALL SUVERKRUP DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015369

License Status

INACTIVE

Business

First Name

JAY MARSHALL

Last Name

SUVERKRUP

Suffix

DMD

Business Name

JAY MARSHALL SUVERKRUP DMD

Original Issue Date

10/07/1975

Effective Date

10/07/1975

Expiration Date

09/30/2000

City

SARASOTA

State

Zip

34239

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005