SAMANTHA JOANNE PETERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015228

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

JOANNE

Last Name

PETERSON

Business Name

SAMANTHA JOANNE PETERSON

Original Issue Date

08/04/2015

Effective Date

08/18/2024

Expiration Date

09/30/2027

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

08/18/2024