MICHAELA RENEE CAVENDER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

Title

DMD

First Name

MICHAELA

Middle

RENEE

Last Name

CAVENDER

Business Name

MICHAELA RENEE CAVENDER DMD

Original Issue Date

07/16/2024

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

PEORIA HEIGHTS

State

Zip

61616

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024