ROBERT ALAN RIDGEWAY DDS - Dentist License in Idaho | # 021000702

ROBERT ALAN RIDGEWAY DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000702

License Status

INACTIVE

Business

N

First Name

ROBERT ALAN

Last Name

RIDGEWAY

Suffix

DDS

Business Name

ROBERT ALAN RIDGEWAY DDS

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/1990

State

ID

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005