KEVIN L RIECK DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

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

05/30/2000

Effective Date

05/30/2000

Expiration Date

09/30/2002

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005