ROBERT KENNETH PETERSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

ROBERT KENNETH

Last Name

PETERSON

Suffix

DMD

Business Name

ROBERT KENNETH PETERSON DMD

Original Issue Date

01/01/1998

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022