RUTH BLENCOE DEDDISH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046618

License Status

INACTIVE

Business

First Name

RUTH BLENCOE

Last Name

DEDDISH

Suffix

Business Name

RUTH BLENCOE DEDDISH MD

Original Issue Date

11/16/1972

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014