STEVEN ORLAND PETERSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017401

License Status

NOT RENEWED

Business

First Name

STEVEN ORLAND

Last Name

PETERSON

Suffix

DMD

Business Name

STEVEN ORLAND PETERSON DMD

Original Issue Date

08/08/1980

Effective Date

08/08/1980

Expiration Date

09/30/1992

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

10/12/2005