DOMINADOR PADUA RUIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059474

License Status

NOT RENEWED

Business

First Name

DOMINADOR

Middle

PADUA

Last Name

RUIZ

Suffix

Business Name

DOMINADOR PADUA RUIZ MD

Original Issue Date

09/18/1979

Effective Date

01/25/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014