CARL EDWARD JURGENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016386

License Status

NOT RENEWED

Business

First Name

CARL

Middle

EDWARD

Last Name

JURGENS

Suffix

DDS

Business Name

CARL EDWARD JURGENS DDS

Original Issue Date

07/06/1978

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/09/2022