TREVOR DANIEL RICHMOND DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001157

License Status

ACTIVE

Business

Title

DMD

First Name

TREVOR

Middle

DANIEL

Last Name

RICHMOND

Business Name

TREVOR DANIEL RICHMOND DMD

Original Issue Date

11/20/2024

Effective Date

11/20/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

02/24/2025