JULIA KISHANIE PERSAUD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

Title

DDS

First Name

JULIA

Middle

KISHANIE

Last Name

PERSAUD

Business Name

JULIA KISHANIE PERSAUD DDS

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2024