Brandon Keith Peterson
ExpiredIllinois license 31*****37
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****37
- Status
- Expired (Not Renewed)
- First issued
- December 4, 2007
- Expired
- September 30, 2009
- License holder
- Brandon Keith Peterson
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Specialty
- Practitioner
- Controlled substance schedules
- III IV
- Current term began
- 12/04/2007
Other Illinois licenses under this name
-
IL
ExpiredUrbandale, IAExpired Sep 30, 2018
Contact
Round Lake Beach, IL 60073
Lake County