JACQUES MICHAEL DUPRE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

Title

DMD

First Name

JACQUES

Middle

MICHAEL

Last Name

DUPRE

Business Name

JACQUES MICHAEL DUPRE DMD

Original Issue Date

03/18/2016

Effective Date

03/18/2016

Expiration Date

09/30/2018

City

FORT SILL

State

Zip

73503

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018