WILLIAM H PETRI III DMD 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

WILLIAM

Middle

Last Name

PETRI

Suffix

III DMD

Business Name

WILLIAM H PETRI III DMD

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

09/30/2002

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005