BERNADINE F PELETZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

BERNADINE

Middle

Last Name

PELETZ

Suffix

DDS

Business Name

BERNADINE F PELETZ DDS

Original Issue Date

09/28/1981

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

FORT BENNING

State

Zip

31905

County

GEORGIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012