PETER CARL WASILKOFF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013700

License Status

NOT RENEWED

Business

First Name

PETER CARL

Last Name

WASILKOFF

Suffix

DDS

Business Name

PETER CARL WASILKOFF DDS

Original Issue Date

07/14/1969

Effective Date

09/17/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016