JERRI ANNE BOUGHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024088

License Status

ACTIVE

Business

First Name

JERRI ANNE

Last Name

BOUGHAN

Suffix

DMD

Business Name

JERRI ANNE BOUGHAN DMD

Original Issue Date

02/05/1996

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

09/12/2024