TSBDE Dentist: HERZOG, CLINTON F. # 20239

License Number 20239
License Status Vol Surrender
License Issue Date 07/12/2000
License Expiration Date 08/31/2016
 
 
Last Name HERZOG
Former Last Name HERZOG
First Name CLINTON
Middle Name F.
Gender Male
City AUSTIN
State TX
Zip Code 78757
County TRAVIS
 
 
Nitrous Certification Date 11/10/2000
Anesthesia Level 1 Permit Issue Date No Permit
Anesthesia Level 2 Permit Issue Date No Permit
Anesthesia Level 3 Permit Issue Date No Permit
Anesthesia Level 4 Permit Issue Date No Permit
 
 
Type of Practice GEN
Year Graduated 2000
Dental School UTSA
Year of Birth 1974
 
 
Public Actions
Disciplinary Action Yes
Disciplinary Action PDFs 20239_Herzog_Clinton_04-15-2011.pdf - 20239_Herzog_Clinton_08-14-2015.pdf - 20239_Herzog_Clinton_08-24-2016.pdf -
Remedial Plans Yes
Remedial Plan PDFs 20239_HERZOG_Clinton_06-03-2016.pdf -

CERTIFICATION OF INFORMATION: The Texas State Board of Dental Examiners certifies that it maintains the information for the license verification functions of this website, performs daily updates to the website and considers the website to be a secure, primary source for license verification.

Codes for Type of Practice

DPH=Dental Public Health
END=Endodontics
GEN=General Dentistry
OMP=Oral&Maxillofacial Pathology
OMR=Oral&Maxillofacial Radiology
OMS=Oral&Maxillofacial Surgery
ORTH=Orthodontics
PEDO=Pediatric Dentistry
PERI=Periodontics
PROS=Prosthodontics