PETER K PIROG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

PIROG

Suffix

DMD

Business Name

PETER K PIROG DMD

Original Issue Date

06/23/2004

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024