Byron Thad Petersen Dds
InactiveIllinois license 019015628
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019015628
- Status
- Inactive
- First issued
- July 13, 1976
- Expired
- September 30, 1996
- License holder
- Byron Thad Petersen Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/13/1976
Contact
Salt Lake City, UT 84148
Utah County