RUTHIE REBECCA SU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147227

License Status

ACTIVE

Business

Title

First Name

RUTHIE

Middle

REBECCA

Last Name

Business Name

RUTHIE REBECCA SU MD

Original Issue Date

08/15/2018

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

06/08/2023