HENRY DONALD PETERSON DDS - Dentist License in Illinois | # 021000371

HENRY DONALD PETERSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000371

License Status

INACTIVE

Business

N

First Name

HENRY DONALD

Last Name

PETERSON

Suffix

DDS

Business Name

HENRY DONALD PETERSON DDS

Original Issue Date

11/21/1962

Effective Date

11/21/1962

Expiration Date

09/30/1990

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005