RAY EUGENE ATTEBERRY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

RAY EUGENE

Last Name

ATTEBERRY

Suffix

DDS

Business Name

RAY EUGENE ATTEBERRY DDS

Original Issue Date

01/01/1998

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016