KENNETH H PESKIN DDS - Dentist License in Illinois | # 137000358

KENNETH H PESKIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000358

License Status

NOT RENEWED

Business

N

First Name

KENNETH H

Last Name

PESKIN

Suffix

DDS

Business Name

KENNETH H PESKIN DDS

Original Issue Date

08/03/1994

Effective Date

08/03/1994

Expiration Date

09/30/1998

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/13/2005