GADIA K PEABODY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

GADIA

Middle

Last Name

PEABODY

Suffix

DDS

Business Name

GADIA K PEABODY DDS

Original Issue Date

10/05/2004

Effective Date

06/29/2012

Expiration Date

09/30/2015

City

LOS ANGELES

State

Zip

90089

County

CALIFORNIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016