JESSICA PENTZ RIDGWAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053124

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

PENTZ

Last Name

RIDGWAY

Business Name

JESSICA PENTZ RIDGWAY MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/24/2007