DAVID J RIDEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

RIDEN

Business Name

DAVID J RIDEN

Original Issue Date

04/28/1992

Effective Date

09/12/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021