LORNA PETERSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018004

License Status

NOT RENEWED

Business

First Name

LORNA

Last Name

PETERSEN

Business Name

LORNA PETERSEN

Original Issue Date

05/28/1982

Effective Date

05/28/1982

Expiration Date

09/30/1984

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005