CALVIN ALLEN RIDGEWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084567

License Status

NOT RENEWED

Business

First Name

CALVIN ALLEN

Last Name

RIDGEWAY

Suffix

Business Name

CALVIN ALLEN RIDGEWAY MD

Original Issue Date

06/18/1992

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

ALBUQUERQUE

State

Zip

87122

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017