DOUGLAS SCOTT SHROYER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DMD

First Name

DOUGLAS

Middle

SCOTT

Last Name

SHROYER

Business Name

DOUGLAS SCOTT SHROYER DMD

Original Issue Date

07/01/1983

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

BLUE MOUND

State

Zip

62513

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024