PATRICIA A PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005533

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

PETERSON

Business Name

PATRICIA A PETERSON

Original Issue Date

06/13/1984

Effective Date

08/07/2018

Expiration Date

01/31/2022

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/09/2022