CALVIN ALLEN RIDGEWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

CALVIN ALLEN

Last Name

RIDGEWAY

Suffix

Business Name

CALVIN ALLEN RIDGEWAY MD

Original Issue Date

12/23/1992

Effective Date

12/23/1992

Expiration Date

07/31/1996

City

KANSAS CITY

State

Zip

64108

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017