DANIEL ROBERT RILEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012550

License Status

NOT RENEWED

Business

First Name

DANIEL ROBERT

Last Name

RILEY

Suffix

DDS

Business Name

DANIEL ROBERT RILEY DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005