ROBERT ALAN RIDGEWAY DDS - Dentist License in Idaho | # 019012517

ROBERT ALAN RIDGEWAY DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012517

License Status

INACTIVE

Business

N

First Name

ROBERT ALAN

Last Name

RIDGEWAY

Suffix

DDS

Business Name

ROBERT ALAN RIDGEWAY DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1990

State

ID

Ever Disciplined

N

LastModifiedDate

10/12/2005