KEVIN L RIECK DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000405

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

RIECK

Suffix

DDS MD

Business Name

KEVIN L RIECK DDS MD

Original Issue Date

07/29/1996

Effective Date

07/29/1996

Expiration Date

09/30/2006

City

ROCHESTER

State

Zip

55901

County

MINNESOTA

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

11/08/2006