DOUGLAS D KIRK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020170

License Status

NOT RENEWED

Business

First Name

DOUGLAS D

Last Name

KIRK

Business Name

DOUGLAS D KIRK

Original Issue Date

07/22/1986

Effective Date

11/03/2015

Expiration Date

09/30/2018

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

10/31/2018