CRAIG A PETERSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

Title

DMD

First Name

CRAIG

Middle

Last Name

PETERSON

Business Name

CRAIG A PETERSON DMD

Original Issue Date

07/08/2015

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

MORRISON

State

Zip

61270

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024