Lisa M Petersen
ExpiredIllinois license 020013444
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020013444
- Status
- Expired (Not Renewed)
- First issued
- December 2, 2010
- Expired
- September 30, 2018
- License holder
- Lisa M Petersen
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/24/2015
Contact
Goose Lake, IA 52750
Iowa County