JAMES STEPHEN PETERSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029045

License Status

ACTIVE

Business

Title

DDS

First Name

JAMES

Middle

STEPHEN

Last Name

PETERSON

Business Name

JAMES STEPHEN PETERSON DDS

Original Issue Date

06/08/2012

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/15/2024