MAGNOLIA PEDRAZA DMD MS PC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

APPROVED DENTAL/DENTAL HYGENIST CE SPONSOR

License Number

174000173

License Status

NOT RENEWED

Business

Business Name

MAGNOLIA PEDRAZA DMD MS PC

Original Issue Date

01/29/2016

Effective Date

10/13/2016

Expiration Date

09/30/2018

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

10/31/2018