DUSTIN DAVID RIDDLE - Podiatrist License in Wisconsin | # 31*****90

DUSTIN DAVID RIDDLE

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

N

First Name

DUSTIN

Middle

DAVID

Last Name

RIDDLE

Business Name

DUSTIN DAVID RIDDLE

Original Issue Date

06/27/2016

Effective Date

12/26/2018

Expiration Date

01/31/2021

State

WI

Controlled Substance Schedule

II III IV

Ever Disciplined

N

LastModifiedDate

03/11/2021