Petersen, Mark Steven
Dentistry
Wisconsin 2619-15 Revoked
This Wisconsin license was held by Petersen, Mark Steven. The license is no longer active. It was granted on 09/08/1980 and expired on 09/30/1983
LICENSE DETAILS
- License Number: 2619-15
- Category: Dentistry
- Status: Revoked
- Date Granted: 09/08/1980 (over 44 years ago)
- Expiry Date: 09/30/1983 (over 41 years ago)