DONNA J DIXON-PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004338

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

DIXON-PETERSON

Business Name

DONNA J DIXON-PETERSON

Original Issue Date

08/28/1980

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/09/2022