BRUCE ALAN PETERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013716

License Status

NOT RENEWED

Business

First Name

BRUCE ALAN

Last Name

PETERSON

Suffix

DDS

Business Name

BRUCE ALAN PETERSON DDS

Original Issue Date

08/13/1969

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/31/2018