BRIAN WARD ALQUIST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016250

License Status

NOT RENEWED

Business

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

City

WAUKEGAN

State

Zip

60085

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005