RICHARD R DEPPE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

RICHARD R

Last Name

DEPPE

Business Name

RICHARD R DEPPE

Original Issue Date

10/30/1984

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024