CODY TREVOR KRIEGEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

Title

DDS

First Name

CODY

Middle

TREVOR

Last Name

KRIEGEL

Business Name

CODY TREVOR KRIEGEL DDS

Original Issue Date

07/13/2016

Effective Date

07/13/2016

Expiration Date

09/30/2018

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018