JOSHUA DAVID RIEKE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051981

License Status

CANCELLED

Business

First Name

JOSHUA

Middle

DAVID

Last Name

RIEKE

Suffix

Business Name

JOSHUA DAVID RIEKE MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

EDWARDSVILLE

State

Zip

62025

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006