DUSTIN DAVID RIDDLE Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000875

License Status

CANCELLED

Business

First Name

DUSTIN

Middle

DAVID

Last Name

RIDDLE

Business Name

DUSTIN DAVID RIDDLE

Original Issue Date

06/12/2015

Effective Date

06/12/2015

Expiration Date

06/12/2016

City

GREAT FALLS

State

Zip

59404

Ever Disciplined

LastModifiedDate

06/10/2015