KATHY SUE PETERSON - Dentist License in Illinois | # 020002505

KATHY SUE PETERSON

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002505

License Status

INACTIVE

Business

N

First Name

KATHY SUE

Last Name

PETERSON

Business Name

KATHY SUE PETERSON

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005