KATHRYN PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016151

License Status

NOT RENEWED

Business

First Name

KATHRYN

Last Name

PETERSON

Business Name

KATHRYN PETERSON

Original Issue Date

06/20/2018

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

THOMASBORO

State

Zip

61878

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/09/2022