JERRY RAY HARRISON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

JERRY RAY

Last Name

HARRISON

Suffix

DMD

Business Name

JERRY RAY HARRISON DMD

Original Issue Date

01/01/1998

Effective Date

12/15/2021

Expiration Date

09/30/2024

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025