CHRISTINA ANN RIDER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

ACTIVE

Business

First Name

CHRISTINA

Middle

ANN

Last Name

RIDER

Business Name

CHRISTINA ANN RIDER

Original Issue Date

10/18/2019

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

ROCK ISLAND

State

Zip

61201

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/13/2026