MARIA L FREYFOGLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

MARIA L

Last Name

FREYFOGLE

Business Name

MARIA L FREYFOGLE

Original Issue Date

04/10/1984

Effective Date

04/10/1984

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