ALAN C PETERSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024055

License Status

NOT RENEWED

Business

First Name

ALAN C

Last Name

PETERSON

Suffix

DMD

Business Name

ALAN C PETERSON DMD

Original Issue Date

12/12/1995

Effective Date

12/12/1995

Expiration Date

09/30/2004

City

LITHONIA

State

Zip

30058

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/17/2005