GADIA K PEABODY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

GADIA

Middle

Last Name

PEABODY

Suffix

DDS

Business Name

GADIA K PEABODY DDS

Original Issue Date

09/08/2004

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

MUSKEGON

State

Zip

49442

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2024