CLARENCE HERBERT PETERSON JR - Dentist License in Illinois | # 019009846

CLARENCE HERBERT PETERSON JR

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009846

License Status

NOT RENEWED

Business

N

First Name

CLARENCE HERBERT

Last Name

PETERSON JR

Business Name

CLARENCE HERBERT PETERSON JR

Original Issue Date

08/13/1951

Effective Date

08/13/1951

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005