Derek R Berquist

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019030766

Status

Expired (Not Renewed)

First issued

June 24, 2016

Expired

September 30, 2018

License holder

Derek R Berquist

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

06/24/2016

Other Illinois licenses under this name

• IL
  Derek R Berquist

  License 31*****68

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Munster, IN

  Expired Sep 30, 2018

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