JOHN TERRANCE PETERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

JOHN TERRANCE

Last Name

PETERSON

Suffix

DDS

Business Name

JOHN TERRANCE PETERSON DDS

Original Issue Date

01/01/1998

Effective Date

06/25/2012

Expiration Date

09/30/2015

City

KANKAKEE

State

Zip

60001

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016