MARIA S KRIEKENBEEK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

MARIA S

Last Name

KRIEKENBEEK

Business Name

MARIA S KRIEKENBEEK

Original Issue Date

08/09/1995

Effective Date

08/09/1995

Expiration Date

07/31/1999

City

WAVERLY

State

Zip

62692

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006