CHARLES R SODERQUIST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

SODERQUIST

Suffix

DDS

Business Name

CHARLES R SODERQUIST DDS

Original Issue Date

01/01/1998

Effective Date

09/20/2018

Expiration Date

01/31/2022

City

RIVER GROVE

State

Zip

60171

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022