JOHN WILLIAM HULTQUIST DMD, MD - Dentist License in Illinois | # 136000180

JOHN WILLIAM HULTQUIST DMD, MD

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000180

License Status

NOT RENEWED

Business

N

Title

DMD, MD

First Name

JOHN

Middle

WILLIAM

Last Name

HULTQUIST

Business Name

JOHN WILLIAM HULTQUIST DMD, MD

Original Issue Date

09/21/2012

Effective Date

09/21/2012

Expiration Date

06/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

01/07/2016