TIMOTHY NOEL RIDDELL - Physician Assistant License in Illinois | # 085005782

TIMOTHY NOEL RIDDELL

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005782

License Status

ACTIVE

Business

N

First Name

TIMOTHY

Middle

NOEL

Last Name

RIDDELL

Business Name

TIMOTHY NOEL RIDDELL

Original Issue Date

02/22/2016

Effective Date

12/23/2025

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

12/23/2025