SAMUEL ELEAZAR RUSKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123994

License Status

NOT RENEWED

Business

Title

First Name

SAMUEL

Middle

ELEAZAR

Last Name

RUSKIN

Business Name

SAMUEL ELEAZAR RUSKIN MD

Original Issue Date

07/14/2009

Effective Date

07/14/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011