MICHAEL P RIDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

MICHAEL P

Last Name

RIDGE

Suffix

Business Name

MICHAEL P RIDGE MD

Original Issue Date

01/27/1984

Effective Date

01/27/1984

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006