VICTOR CUSTODIO RUEDA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038415

License Status

INACTIVE

Business

First Name

VICTOR CUSTODIO

Last Name

RUEDA

Business Name

VICTOR CUSTODIO RUEDA

Original Issue Date

06/06/1963

Effective Date

06/06/1963

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006