JACK TAGGART BROWN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009839

License Status

NOT RENEWED

Business

First Name

JACK TAGGART

Last Name

BROWN

Suffix

DDS

Business Name

JACK TAGGART BROWN DDS

Original Issue Date

08/13/1951

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/08/2006