JACK CLARK FISHER JR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025193

License Status

NOT RENEWED

Business

First Name

JACK

Middle

CLARK

Last Name

FISHER

Suffix

JR DMD

Business Name

JACK CLARK FISHER JR DMD

Original Issue Date

01/27/2000

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

02/04/2025