SHANNON B RIDER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105880

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

RIDER

Business Name

SHANNON B RIDER

Original Issue Date

11/26/2001

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

07/10/2023