DONALD JAMES PETERSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013948

License Status

INACTIVE

Business

First Name

DONALD JAMES

Last Name

PETERSON

Suffix

DDS

Business Name

DONALD JAMES PETERSON DDS

Original Issue Date

11/23/1970

Effective Date

11/23/1970

Expiration Date

09/30/1990

City

COLORADO SPRINGS

State

Zip

80918

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005