CLARENCE HERBERT PETERSON JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009846

License Status

NOT RENEWED

Business

First Name

CLARENCE HERBERT

Last Name

PETERSON JR

Business Name

CLARENCE HERBERT PETERSON JR

Original Issue Date

08/13/1951

Effective Date

08/13/1951

Expiration Date

09/30/1992

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005