JACLYN M SCROGGINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028002

License Status

NOT RENEWED

Business

Title

DMD

First Name

JACLYN

Middle

Last Name

SCROGGINS

Business Name

JACLYN M SCROGGINS DMD

Original Issue Date

06/11/2009

Effective Date

08/23/2018

Expiration Date

01/31/2022

City

KIRKWOO

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/09/2022