KATY N PETERSON - Dentist License in Illinois | # 020015208

KATY N PETERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015208

License Status

NOT RENEWED

Business

N

First Name

KATY

Middle

N

Last Name

PETERSON

Business Name

KATY N PETERSON

Original Issue Date

08/03/2015

Effective Date

08/03/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018