MARY S PETERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

PETERS

Business Name

MARY S PETERS

Original Issue Date

10/29/1985

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016