JADE ALYSSA DESMIDT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

Title

DDS

First Name

JADE

Middle

ALYSSA

Last Name

DESMIDT

Business Name

JADE ALYSSA DESMIDT DDS

Original Issue Date

06/27/2013

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

HIGH RIDGE

State

Zip

63049

County

NORTH DAKOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022