STEVEN ORLAND PETERSON DMD - Dentist License in Illinois | # 019017401

STEVEN ORLAND PETERSON DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017401

License Status

NOT RENEWED

Business

N

First Name

STEVEN ORLAND

Last Name

PETERSON

Suffix

DMD

Business Name

STEVEN ORLAND PETERSON DMD

Original Issue Date

08/08/1980

Effective Date

08/08/1980

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005