JOHN STEVEN PIDGEON MD - Medical Doctor License in Idaho | # 33*****31

JOHN STEVEN PIDGEON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JOHN

Middle

STEVEN

Last Name

PIDGEON

Business Name

JOHN STEVEN PIDGEON MD

Original Issue Date

09/19/2011

Effective Date

09/19/2011

Expiration Date

07/31/2014

State

ID

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/05/2020