KATY N PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015208

License Status

NOT RENEWED

Business

First Name

KATY

Middle

Last Name

PETERSON

Business Name

KATY N PETERSON

Original Issue Date

08/03/2015

Effective Date

08/03/2015

Expiration Date

09/30/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/31/2018