GADIA K PEABODY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000724

License Status

ACTIVE

Business

First Name

GADIA

Middle

Last Name

PEABODY

Suffix

DDS

Business Name

GADIA K PEABODY DDS

Original Issue Date

04/07/2008

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

MUSKEGON

State

Zip

49442

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/17/2024