STEVEN ORLAND PETERSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

STEVEN ORLAND

Last Name

PETERSON

Suffix

DMD

Business Name

STEVEN ORLAND PETERSON DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

ROSICLARE

State

Zip

62982

County

HARDIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005