PETER A PAESANI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000936

License Status

INACTIVE

Business

First Name

PETER A

Last Name

PAESANI

Business Name

PETER A PAESANI

Original Issue Date

01/19/1978

Effective Date

01/19/1978

Expiration Date

09/30/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/17/2005