CARL EDWARD JURGENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000031

License Status

NOT RENEWED

Business

First Name

CARL

Middle

EDWARD

Last Name

JURGENS

Suffix

DDS

Business Name

CARL EDWARD JURGENS DDS

Original Issue Date

01/01/1998

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

DECATUR

State

Zip

62522

County

MACON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/09/2022