LINDSEY R DOUGLAS DMD Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001987

License Status

INOPERATIVE

Business

First Name

LINDSEY

Middle

Last Name

DOUGLAS

Suffix

DMD

Business Name

LINDSEY R DOUGLAS DMD

Original Issue Date

02/01/2001

Effective Date

02/01/2001

Expiration Date

09/30/2002

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/17/2005