RENE ANGELO TANQUILUT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000519

License Status

ACTIVE

Business

First Name

RENE ANGELO

Last Name

TANQUILUT

Suffix

DDS

Business Name

RENE ANGELO TANQUILUT DDS

Original Issue Date

02/28/2001

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/13/2024