HAROLD T BEQUETTE DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

CANCELLED

Business

First Name

HAROLD T

Last Name

BEQUETTE

Suffix

DDS

Business Name

HAROLD T BEQUETTE DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005