DAVID R PETERSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017734

License Status

ACTIVE

Business

First Name

DAVID R

Last Name

PETERSON

Suffix

DDS

Business Name

DAVID R PETERSON DDS

Original Issue Date

07/14/1981

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

08/28/2024