HENRY DONALD PETERSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000371

License Status

INACTIVE

Business

First Name

HENRY DONALD

Last Name

PETERSON

Suffix

DDS

Business Name

HENRY DONALD PETERSON DDS

Original Issue Date

11/21/1962

Effective Date

11/21/1962

Expiration Date

09/30/1990

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005