DAVID LEE RIESENBERGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060961

License Status

NOT RENEWED

Business

First Name

DAVID LEE

Last Name

RIESENBERGER

Suffix

Business Name

DAVID LEE RIESENBERGER MD

Original Issue Date

09/11/1980

Effective Date

08/31/2020

Expiration Date

07/31/2023

City

MODESTO

State

Zip

62667

County

MACOUPIN

Ever Disciplined

LastModifiedDate

11/30/2023