ANDREW JAMES RIFE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077077

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

JAMES

Last Name

RIFE

Business Name

ANDREW JAMES RIFE DO

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

ROCKFORD

State

Zip

61114

County

BOONE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/12/2020