DUSTIN DAVID RIDDLE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

DAVID

Last Name

RIDDLE

Business Name

DUSTIN DAVID RIDDLE

Original Issue Date

06/27/2016

Effective Date

12/26/2018

Expiration Date

01/31/2021

City

HARTFORD

State

Zip

53027

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/11/2021