WAYNE B PURSELL DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000238

License Status

INOPERATIVE

Business

First Name

WAYNE B

Last Name

PURSELL

Suffix

DDS

Business Name

WAYNE B PURSELL DDS

Original Issue Date

02/17/1990

Effective Date

02/17/1990

Expiration Date

09/30/2000

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005