DANIELA VASQUEZ RIEGEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

Title

DMD

First Name

DANIELA

Middle

VASQUEZ

Last Name

RIEGEL

Business Name

DANIELA VASQUEZ RIEGEL DMD

Original Issue Date

06/27/2013

Effective Date

06/19/2015

Expiration Date

09/30/2018

City

CHARLESTON

State

Zip

61920

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018