ROBERT RUSSELL YOUNGQUIST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

ROBERT RUSSELL

Last Name

YOUNGQUIST

Suffix

DDS

Business Name

ROBERT RUSSELL YOUNGQUIST DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005