PETER L PAULSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

PETER L

Last Name

PAULSON

Suffix

DMD

Business Name

PETER L PAULSON DMD

Original Issue Date

01/01/1998

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

MT ZION

State

Zip

62549

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025