PETER CARL WASILKOFF DDS - Dentist License in Illinois | # 021000869

PETER CARL WASILKOFF DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000869

License Status

NOT RENEWED

Business

N

First Name

PETER CARL

Last Name

WASILKOFF

Suffix

DDS

Business Name

PETER CARL WASILKOFF DDS

Original Issue Date

01/16/1976

Effective Date

09/17/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

02/08/2016