KEVIN L RIECK DDS MD 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

KEVIN

Middle

Last Name

RIECK

Suffix

DDS MD

Business Name

KEVIN L RIECK DDS MD

Original Issue Date

05/13/1996

Effective Date

05/13/1996

Expiration Date

09/30/2006

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006