SIDNEY PESKIN DDS - Dentist License in Illinois | # 021000388

SIDNEY PESKIN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000388

License Status

INACTIVE

Business

N

First Name

SIDNEY

Last Name

PESKIN

Suffix

DDS

Business Name

SIDNEY PESKIN DDS

Original Issue Date

11/22/1963

Effective Date

07/15/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

N

LastModifiedDate

06/06/2012