ALAN DOUGLAS COLBY JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

ALAN DOUGLAS

Last Name

COLBY JR

Suffix

DDS

Business Name

ALAN DOUGLAS COLBY JR DDS

Original Issue Date

04/23/1982

Effective Date

04/23/1982

Expiration Date

09/30/2000

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005