JACLYN M SCROGGINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

Title

DMD

First Name

JACLYN

Middle

Last Name

SCROGGINS

Business Name

JACLYN M SCROGGINS DMD

Original Issue Date

06/17/2009

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022