DANIEL PATRICK JURGENS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DMD

First Name

DANIEL

Middle

PATRICK

Last Name

JURGENS

Business Name

DANIEL PATRICK JURGENS DMD

Original Issue Date

08/07/2020

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024