JONATHAN D HOLLAND DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

HOLLAND

Suffix

DDS

Business Name

JONATHAN D HOLLAND DDS

Original Issue Date

09/04/2003

Effective Date

09/04/2003

Expiration Date

09/30/2004

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005