CHAD WILLIAM PETERSEN DDS - Dentist License in Illinois | # 018001887

CHAD WILLIAM PETERSEN DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001887

License Status

EXPIRED

Business

N

Title

DDS

First Name

CHAD

Middle

WILLIAM

Last Name

PETERSEN

Business Name

CHAD WILLIAM PETERSEN DDS

Original Issue Date

07/10/2013

Effective Date

07/10/2013

Expiration Date

06/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

09/19/2017