ROBERT ALAN RIDGEWAY DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012517

License Status

INACTIVE

Business

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

City

TWIN FALLS

State

Zip

83301

County

IDAHO

Ever Disciplined

LastModifiedDate

10/12/2005