JUDITH ANN PEACOCK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011612

License Status

ACTIVE

Business

First Name

JUDITH

Middle

ANN

Last Name

PEACOCK

Business Name

JUDITH ANN PEACOCK

Original Issue Date

03/08/2006

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

09/21/2024