PETER MICHAEL DURBIN DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002126

License Status

EXPIRED

Business

Title

DDS

First Name

PETER

Middle

MICHAEL

Last Name

DURBIN

Business Name

PETER MICHAEL DURBIN DDS

Original Issue Date

08/16/2019

Effective Date

08/16/2019

Expiration Date

08/16/2022

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022