NELLY RUIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131488

License Status

NOT RENEWED

Business

Title

First Name

NELLY

Last Name

RUIZ

Business Name

NELLY RUIZ MD

Original Issue Date

09/21/2012

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021