LUCIA RIDLEN-GONZALEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039656

License Status

EXPIRED

Business

First Name

LUCIA

Last Name

RIDLEN-GONZALEZ

Suffix

Business Name

LUCIA RIDLEN-GONZALEZ MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

CARBONDALE

State

Zip

62901

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006