ROBERT ALLEN BERQUIST DDS - Dentist License in Illinois | # 019011929

ROBERT ALLEN BERQUIST DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011929

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022