TODD R RIDENOUR MD FACS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090042

License Status

NOT RENEWED

Business

First Name

TODD R

Last Name

RIDENOUR

Suffix

MD FACS

Business Name

TODD R RIDENOUR MD FACS

Original Issue Date

12/21/1994

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

01/14/2021