CARL EDWARD JURGENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

CARL

Middle

EDWARD

Last Name

JURGENS

Suffix

DDS

Business Name

CARL EDWARD JURGENS DDS

Original Issue Date

01/01/1998

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022