DAVID C RIESE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

RIESE

Business Name

DAVID C RIESE

Original Issue Date

07/26/1995

Effective Date

07/26/1995

Expiration Date

07/31/1996

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006