RICHARD LEWIS TEGA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012811

License Status

NOT RENEWED

Business

First Name

RICHARD LEWIS

Last Name

TEGA

Suffix

DDS

Business Name

RICHARD LEWIS TEGA DDS

Original Issue Date

07/15/1965

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2010