PETER J POLVERINI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019504

License Status

INACTIVE

Business

First Name

PETER J

Last Name

POLVERINI

Business Name

PETER J POLVERINI

Original Issue Date

04/08/1985

Effective Date

04/08/1985

Expiration Date

09/30/1992

City

ANN ARBOR

State

Zip

48109

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005