THOMAS O HALLQUIST DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016650

License Status

INACTIVE

Business

First Name

THOMAS O

Last Name

HALLQUIST

Suffix

DDS

Business Name

THOMAS O HALLQUIST DDS

Original Issue Date

06/26/1979

Effective Date

06/26/1979

Expiration Date

09/30/1994

City

OSHKOSH

State

Zip

54904

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005