BYRON THAD PETERSEN DDS - Dentist License in Utah | # 019015628

BYRON THAD PETERSEN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015628

License Status

INACTIVE

Business

N

First Name

BYRON THAD

Last Name

PETERSEN

Suffix

DDS

Business Name

BYRON THAD PETERSEN DDS

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1996

State

UT

Ever Disciplined

N

LastModifiedDate

10/12/2005