TARAH ANN RIDENBARK DMD - Dentist License in Illinois | # 019030725

TARAH ANN RIDENBARK DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030725

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

TARAH

Middle

ANN

Last Name

RIDENBARK

Business Name

TARAH ANN RIDENBARK DMD

Original Issue Date

06/16/2016

Effective Date

06/16/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018