KENNETH H PETERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013190

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

PETERSON

Suffix

DDS

Business Name

KENNETH H PETERSON DDS

Original Issue Date

07/20/1967

Effective Date

08/14/2012

Expiration Date

09/30/2015

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/08/2016