SUSAN E RIEKEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

RIEKEN

Suffix

DMD

Business Name

SUSAN E RIEKEN DMD

Original Issue Date

10/28/1996

Effective Date

09/02/2015

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018