WAYNE B PURSELL DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

INOPERATIVE

Business

First Name

WAYNE B

Last Name

PURSELL

Suffix

DDS

Business Name

WAYNE B PURSELL DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005