RONALD CARL BERQUIST Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012878

License Status

INACTIVE

Business

First Name

RONALD CARL

Last Name

BERQUIST

Business Name

RONALD CARL BERQUIST

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1998

City

DENVER

State

Zip

80220

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005