BRIAN WARD ALQUIST DDS - Dentist License in Illinois | # 019016250

BRIAN WARD ALQUIST DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016250

License Status

NOT RENEWED

Business

N

First Name

BRIAN WARD

Last Name

ALQUIST

Suffix

DDS

Business Name

BRIAN WARD ALQUIST DDS

Original Issue Date

03/17/1978

Effective Date

03/17/1978

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005