LESLIE WALTON KRIEGER JR 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

First Name

LESLIE WALTON

Last Name

KRIEGER JR

Suffix

DDS

Business Name

LESLIE WALTON KRIEGER JR DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

RICHMOND

State

Zip

60071

County

MCHENRY

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005