DOUGLAS JACK WHITE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016085

License Status

ACTIVE

Business

First Name

DOUGLAS JACK

Last Name

WHITE

Suffix

DMD

Business Name

DOUGLAS JACK WHITE DMD

Original Issue Date

07/15/1977

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

05/06/2024