DAVID ALLAN RIDDER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071342

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

ALLAN

Last Name

RIDDER

Business Name

DAVID ALLAN RIDDER MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022