RICHARD LEWIS TEGA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

RICHARD LEWIS

Last Name

TEGA

Suffix

DDS

Business Name

RICHARD LEWIS TEGA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006