KYLE E PEDERSEN DDS - Dentist License in Illinois | # 137000545

KYLE E PEDERSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000545

License Status

NOT RENEWED

Business

N

First Name

KYLE

Middle

E

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

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

11/04/2009