SCOTT A SODERQUIST DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002112

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

SODERQUIST

Suffix

DDS

Business Name

SCOTT A SODERQUIST DDS

Original Issue Date

08/31/2004

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

05/15/2024