MATTHEW CASEY RIDDLE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040219

License Status

NOT RENEWED

Business

First Name

MATTHEW CASEY

Last Name

RIDDLE JR

Suffix

Business Name

MATTHEW CASEY RIDDLE JR MD

Original Issue Date

03/02/1966

Effective Date

03/02/1966

City

PORTLAND

State

Zip

97201

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006