SCOTT A SODERQUIST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

SODERQUIST

Suffix

DDS

Business Name

SCOTT A SODERQUIST DDS

Original Issue Date

04/15/2005

Effective Date

10/01/2021

Expiration Date

09/30/2024

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025