TIMOTHY NOEL RIDDELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005782

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

12/23/2025