GREGG C PETERSON - Dentist License in Illinois | # 019019303

GREGG C PETERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019303

License Status

NOT RENEWED

Business

N

First Name

GREGG C

Last Name

PETERSON

Business Name

GREGG C PETERSON

Original Issue Date

09/10/1984

Effective Date

09/10/1984

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005