KENNETH H PESKIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000491

License Status

NOT RENEWED

Business

First Name

KENNETH H

Last Name

PESKIN

Suffix

DDS

Business Name

KENNETH H PESKIN DDS

Original Issue Date

08/03/1990

Effective Date

08/03/1990

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005