MELINA MAIROBY PEREIRA PETIT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

MELINA

Middle

MAIROBY

Last Name

PEREIRA PETIT

Business Name

MELINA MAIROBY PEREIRA PETIT

Original Issue Date

08/20/2024

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024