ARIC MORGAN PETERSEN DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000135

License Status

EXPIRED

Business

Title

DDS

First Name

ARIC

Middle

MORGAN

Last Name

PETERSEN

Business Name

ARIC MORGAN PETERSEN DDS

Original Issue Date

08/20/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2011