ALAN J BURGE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

ALAN J

Last Name

BURGE

Suffix

DDS

Business Name

ALAN J BURGE DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005