STEPHEN WAYNE PETERSON - Dentist License in Illinois | # 019018327

STEPHEN WAYNE PETERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018327

License Status

NOT RENEWED

Business

N

First Name

STEPHEN WAYNE

Last Name

PETERSON

Business Name

STEPHEN WAYNE PETERSON

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005