PETER DITTMAR ROBERSON DDS - Dentist License in Illinois | # 021000560

PETER DITTMAR ROBERSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000560

License Status

INACTIVE

Business

N

First Name

PETER DITTMAR

Last Name

ROBERSON

Suffix

DDS

Business Name

PETER DITTMAR ROBERSON DDS

Original Issue Date

12/07/1967

Effective Date

07/24/2006

Expiration Date

09/30/2009

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

06/04/2009