PETER A LODESTRO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

LODESTRO

Suffix

DDS

Business Name

PETER A LODESTRO DDS

Original Issue Date

08/05/1985

Effective Date

08/05/1985

Expiration Date

09/30/1986

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005