ALBERT W PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019001680

License Status

NOT RENEWED

Business

First Name

ALBERT W

Last Name

PETERSON

Business Name

ALBERT W PETERSON

Original Issue Date

07/22/1915

Effective Date

07/22/1915

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/12/2005