ROBERT RUSSELL YOUNGQUIST DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015022

License Status

INACTIVE

Business

First Name

ROBERT RUSSELL

Last Name

YOUNGQUIST

Suffix

DDS

Business Name

ROBERT RUSSELL YOUNGQUIST DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

Expiration Date

09/30/2002

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005