DAVID R PETERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

PETERSON

Suffix

DDS

Business Name

DAVID R PETERSON DDS

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

09/30/2000

City

YORKVILLE

State

Zip

60560

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023