BRANDON KEITH PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027419

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

KEITH

Last Name

PETERSON

Business Name

BRANDON KEITH PETERSON

Original Issue Date

06/14/2007

Effective Date

06/30/2015

Expiration Date

09/30/2018

City

URBANDALE

State

Zip

50322

County

IOWA

Ever Disciplined

LastModifiedDate

10/31/2018