ROBERT MICHAEL PETERSON JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

MICHAEL

Last Name

PETERSON

Suffix

JR DDS

Business Name

ROBERT MICHAEL PETERSON JR DDS

Original Issue Date

08/17/1992

Effective Date

12/13/2021

Expiration Date

09/30/2024

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025