SAMANTHA JO PETERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013669

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

PETERS

Business Name

SAMANTHA JO PETERS

Original Issue Date

07/12/2011

Effective Date

08/24/2012

Expiration Date

09/30/2015

City

OQUAWKA

State

Zip

61469

County

HENDERSON

Ever Disciplined

LastModifiedDate

04/25/2016