ROBERT KENNETH PETERSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017071

License Status

ACTIVE

Business

First Name

ROBERT KENNETH

Last Name

PETERSON

Suffix

DMD

Business Name

ROBERT KENNETH PETERSON DMD

Original Issue Date

02/19/1980

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/01/2024