JAMES ERNEST PETRIE DDS - Dentist License in Illinois | # 019012064

JAMES ERNEST PETRIE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012064

License Status

NOT RENEWED

Business

N

First Name

JAMES

Middle

ERNEST

Last Name

PETRIE

Suffix

DDS

Business Name

JAMES ERNEST PETRIE DDS

Original Issue Date

08/01/1962

Effective Date

10/02/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016