MICHAEL EVERETT RIDLEHOOVER Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002060

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

EVERETT

Last Name

RIDLEHOOVER

Business Name

MICHAEL EVERETT RIDLEHOOVER

Original Issue Date

12/14/2017

Effective Date

01/09/2018

Expiration Date

06/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

11/19/2020