ALAN R JURGENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

JURGENS

Suffix

DDS

Business Name

ALAN R JURGENS DDS

Original Issue Date

01/13/1982

Effective Date

01/13/1982

Expiration Date

09/30/1986

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005