HENRY DONALD PETERSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011245

License Status

INACTIVE

Business

First Name

HENRY DONALD

Last Name

PETERSON

Suffix

DDS

Business Name

HENRY DONALD PETERSON DDS

Original Issue Date

02/27/1958

Effective Date

02/27/1958

Expiration Date

09/30/1990

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/12/2005