License holder summary

Petersen, A Samuel is a Dentistry licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 06/27/1962 and expired on 09/30/2005.

Wisconsin

Department of Safety and Professional Services

Petersen, A Samuel
Dentistry
License number
4001823-15
Date granted
06/27/1962
Date expires
09/30/2005
Class
Dentistry
Status
wisconsinlicensing.org
ID 12627349
LAST UPDATED 2024-04-22 22:05:35 UTC

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