MARILYN LORENZ PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000675

License Status

NOT RENEWED

Business

First Name

MARILYN LORENZ

Last Name

PETERSON

Business Name

MARILYN LORENZ PETERSON

Original Issue Date

11/22/1963

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

11/14/2012