ROBERTA R HALLQUIST MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079247

License Status

INACTIVE

Business

First Name

ROBERTA R

Last Name

HALLQUIST

Suffix

Business Name

ROBERTA R HALLQUIST MD

Original Issue Date

07/25/1989

Effective Date

07/25/1989

Expiration Date

07/31/2005

City

BELOIT

State

Zip

53512

Ever Disciplined

LastModifiedDate

10/09/2006