AUTUMN PETERSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019036140

License Status

ACTIVE

Business

Title

DMD

First Name

AUTUMN

Last Name

PETERSON

Business Name

AUTUMN PETERSON DMD

Original Issue Date

06/12/2025

Effective Date

06/12/2025

Expiration Date

09/30/2027

City

HINSDALE

State

Zip

60521

County

ADAMS

Ever Disciplined

LastModifiedDate

05/12/2025