JEFFREY ERIC RIESBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ERIC

Last Name

RIESBERG

Business Name

JEFFREY ERIC RIESBERG

Original Issue Date

09/22/1995

Effective Date

09/22/1995

Expiration Date

09/30/1996

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005