JOHN TERRANCE PETERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014762

License Status

NOT RENEWED

Business

First Name

JOHN TERRANCE

Last Name

PETERSON

Suffix

DDS

Business Name

JOHN TERRANCE PETERSON DDS

Original Issue Date

12/17/1973

Effective Date

06/25/2012

Expiration Date

09/30/2015

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/08/2016