DOREEN MARIE PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

DOREEN MARIE

Last Name

PETERSON

Business Name

DOREEN MARIE PETERSON

Original Issue Date

08/26/1981

Effective Date

08/26/1981

Expiration Date

06/01/1982

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005