License holder summary

JONATHAN R PETERSON is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for JONATHAN R PETERSON is PHILADELPHIA PA 19136. This licensed professional license is not current. The license was granted 10/19/2009 and expired on 03/31/2011.

Pennsylvania

Department of State

JONATHAN R PETERSON
Dentistry - Anesthesia Permit - Restricted II
License number
DN001417
Date granted
10/19/2009
Date expires
03/31/2011
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
PHILADELPHIA PA 19136
palicensing.org
ID 16538422
LAST UPDATED 2024-03-27 10:20:59 UTC

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