MARY BENNETT PETRIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017255

License Status

NOT RENEWED

Business

First Name

MARY BENNETT

Last Name

PETRIE

Suffix

DDS

Business Name

MARY BENNETT PETRIE DDS

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

04/01/1982

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005