RENE ANGELO TANQUILUT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000714

License Status

NOT RENEWED

Business

First Name

RENE ANGELO

Last Name

TANQUILUT

Suffix

DDS

Business Name

RENE ANGELO TANQUILUT DDS

Original Issue Date

07/08/1993

Effective Date

07/08/1993

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005