DAVID J RIDEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023246

License Status

EXPIRED

Business

First Name

DAVID J

Last Name

RIDEN

Business Name

DAVID J RIDEN

Original Issue Date

04/10/1989

Effective Date

04/10/1989

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006