COLLIN G PETOSKEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

First Name

COLLIN

Middle

Last Name

PETOSKEY

Business Name

COLLIN G PETOSKEY

Original Issue Date

08/04/2015

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

KNOXVILLE

State

Zip

61448

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024