CAROLYN PETERS LARSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021732

License Status

NOT RENEWED

Business

First Name

CAROLYN PETERS

Last Name

LARSEN

Business Name

CAROLYN PETERS LARSEN

Original Issue Date

09/12/1989

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/31/2018