AUTUMN PETERSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

Title

DMD

First Name

AUTUMN

Last Name

PETERSON

Business Name

AUTUMN PETERSON DMD

Original Issue Date

09/11/2025

Effective Date

09/11/2025

Expiration Date

09/30/2027

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2025