KENNETH H PESKIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000358

License Status

NOT RENEWED

Business

First Name

KENNETH H

Last Name

PESKIN

Suffix

DDS

Business Name

KENNETH H PESKIN DDS

Original Issue Date

08/03/1994

Effective Date

08/03/1994

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005