License Type:
Dentist
License Number:
2901015775
Name:
Cornal Ridgell
License Issue Date:
03/13/1990
License Expiration Date:
03/13/2028
License Status:
Active
County:
Oakland
City:
Southfield
State or Province:
Michigan
ZIP or Postal Code:
48075
CS Record Number:
5315132535
CS Status:
Lapsed
CS Expiration Date:
08/31/2021