DAVID ROBERT RIEDEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

DAVID ROBERT

Last Name

RIEDEL

Suffix

Business Name

DAVID ROBERT RIEDEL MD

Original Issue Date

01/01/1997

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023