ALAN CARL PETERSEN DDS - Dentist License in Illinois | # 019013899

ALAN CARL PETERSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013899

License Status

NOT RENEWED

Business

N

First Name

ALAN CARL

Last Name

PETERSEN

Suffix

DDS

Business Name

ALAN CARL PETERSEN DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

04/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005