STEPHEN WAYNE PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018327

License Status

NOT RENEWED

Business

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

City

OAK PARK

State

Zip

60303

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005