DAVID R PETERSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001236

License Status

ACTIVE

Business

First Name

DAVID R

Last Name

PETERSON

Suffix

DDS

Business Name

DAVID R PETERSON DDS

Original Issue Date

09/21/1984

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

LastModifiedDate

08/28/2024