KEVIN L RIECK DDS MD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001794

License Status

INACTIVE

Business

First Name

KEVIN

Middle

Last Name

RIECK

Suffix

DDS MD

Business Name

KEVIN L RIECK DDS MD

Original Issue Date

08/23/1996

Effective Date

08/23/1996

Expiration Date

09/30/2006

City

ROCHESTER

State

Zip

55901

County

MINNESOTA

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/24/2006