RICHARD ROLAND HERZFELDT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

RICHARD ROLAND

Last Name

HERZFELDT

Suffix

DDS

Business Name

RICHARD ROLAND HERZFELDT DDS

Original Issue Date

01/01/1998

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016