BRUCE L PETERSON - Dentist License in Illinois | # 019020492

BRUCE L PETERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020492

License Status

NOT RENEWED

Business

N

First Name

BRUCE L

Last Name

PETERSON

Business Name

BRUCE L PETERSON

Original Issue Date

03/07/1987

Effective Date

03/07/1987

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005