MAGNOLIA PEDRAZA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

MAGNOLIA

Last Name

PEDRAZA

Suffix

DMD

Business Name

MAGNOLIA PEDRAZA DMD

Original Issue Date

11/08/2004

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

FORSYTH

State

Zip

62535

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024