ALAN CARL PETERSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013899

License Status

NOT RENEWED

Business

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

City

BUFFALO GROVE

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005