RENE ANGELO TANQUILUT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

RENE ANGELO

Last Name

TANQUILUT

Suffix

DDS

Business Name

RENE ANGELO TANQUILUT DDS

Original Issue Date

10/08/1993

Effective Date

10/08/1993

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005