KYLE E PEDERSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000545

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

PEDERSEN

Suffix

DDS

Business Name

KYLE E PEDERSEN DDS

Original Issue Date

02/11/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/04/2009