RICHARD MATTHEW NEIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000797

License Status

NOT RENEWED

Business

First Name

RICHARD MATTHEW

Last Name

NEIS

Suffix

DDS

Business Name

RICHARD MATTHEW NEIS DDS

Original Issue Date

12/17/1973

Effective Date

12/17/1973

Expiration Date

09/30/2006

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

11/08/2006