BARBARA E PETERSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006316

License Status

NOT RENEWED

Business

First Name

BARBARA E

Last Name

PETERSEN

Business Name

BARBARA E PETERSEN

Original Issue Date

12/16/1986

Effective Date

12/16/1986

Expiration Date

09/30/2000

City

WINTHROP HARBOR

State

Zip

60096

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005