ANTHONY PETERSON DDS - Dentist License in Illinois | # 019005474

ANTHONY PETERSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019005474

License Status

NOT RENEWED

Business

N

First Name

ANTHONY

Last Name

PETERSON

Suffix

DDS

Business Name

ANTHONY PETERSON DDS

Original Issue Date

08/08/1928

Effective Date

08/08/1928

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005