RICHARD L FIESE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018015

License Status

INACTIVE

Business

First Name

RICHARD L

Last Name

FIESE

Business Name

RICHARD L FIESE

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

09/30/1990

City

BALDWINSVILLE

State

Zip

13027

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005