BENJAMIN DAVID RUDD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120450

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

DAVID

Last Name

RUDD

Business Name

BENJAMIN DAVID RUDD MD

Original Issue Date

04/03/2008

Effective Date

04/03/2008

Expiration Date

07/31/2011

City

DE SOTO

State

Zip

62924

County

JACKSON

Ever Disciplined

LastModifiedDate

11/14/2011