KIM M PETTERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006261

License Status

INACTIVE

Business

First Name

KIM M

Last Name

PETTERSON

Business Name

KIM M PETTERSON

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

09/30/1996

City

LAKEWOOD

State

Zip

80215

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005