MARTIN ALFONSO RUELAS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000695

License Status

ACTIVE

Business

First Name

MARTIN ALFONSO

Last Name

RUELAS

Suffix

DMD

Business Name

MARTIN ALFONSO RUELAS DMD

Original Issue Date

01/25/2007

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/09/2024