RYAN ANDREW PETERSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

Title

DMD

First Name

RYAN

Middle

ANDREW

Last Name

PETERSON

Business Name

RYAN ANDREW PETERSON DMD

Original Issue Date

07/27/2015

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024