SUSAN E RIEKEN DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023949

License Status

INACTIVE

Business

First Name

SUSAN E

Last Name

RIEKEN

Suffix

DMD

Business Name

SUSAN E RIEKEN DMD

Original Issue Date

09/07/1995

Effective Date

12/02/2021

Expiration Date

09/30/2024

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

10/01/2024