KATHY SUE PETERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002505

License Status

INACTIVE

Business

First Name

KATHY SUE

Last Name

PETERSON

Business Name

KATHY SUE PETERSON

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/2000

City

MOLINE

State

Zip

61265

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/17/2005