THOMAS O HALLQUIST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

THOMAS O

Last Name

HALLQUIST

Suffix

DDS

Business Name

THOMAS O HALLQUIST DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005