KENNETH H PESKIN DDS - Dentist License in Illinois | # 018000491

KENNETH H PESKIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000491

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005