LISA NOELLE RUCKMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131085

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

NOELLE

Last Name

RUCKMAN

Business Name

LISA NOELLE RUCKMAN MD

Original Issue Date

08/07/2012

Effective Date

08/07/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014