DONALD JAY BERQUIST DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032682

License Status

ACTIVE

Business

Title

DMD

First Name

DONALD

Middle

JAY

Last Name

BERQUIST

Business Name

DONALD JAY BERQUIST DMD

Original Issue Date

06/08/2020

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2024