CODY RYAN KRECH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

Title

DMD

First Name

CODY

Middle

RYAN

Last Name

KRECH

Business Name

CODY RYAN KRECH DMD

Original Issue Date

06/13/2014

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024