ROBERT ALLEN BERQUIST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011929

License Status

NOT RENEWED

Business

First Name

ROBERT ALLEN

Last Name

BERQUIST

Suffix

DDS

Business Name

ROBERT ALLEN BERQUIST DDS

Original Issue Date

07/31/1961

Effective Date

03/12/2019

Expiration Date

01/31/2022

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022