DAVID ROBERT RIEDEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060307

License Status

ACTIVE

Business

First Name

DAVID ROBERT

Last Name

RIEDEL

Suffix

Business Name

DAVID ROBERT RIEDEL MD

Original Issue Date

05/16/1980

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2023