JAMES ERNEST PETRIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012064

License Status

NOT RENEWED

Business

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

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016