JAMES ERNEST PETRIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

ERNEST

Last Name

PETRIE

Suffix

DDS

Business Name

JAMES ERNEST PETRIE DDS

Original Issue Date

01/01/1998

Effective Date

10/02/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016