RICHARD A PEDERSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013979

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

PEDERSEN

Suffix

DDS

Business Name

RICHARD A PEDERSEN DDS

Original Issue Date

12/07/1970

Effective Date

12/07/1970

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005