JERRI ANNE BOUGHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

JERRI ANNE

Last Name

BOUGHAN

Suffix

DMD

Business Name

JERRI ANNE BOUGHAN DMD

Original Issue Date

02/14/1996

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024