TIMOTHY J RUETTEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026575

License Status

EXPIRED

Business

First Name

TIMOTHY J

Last Name

RUETTEN

Suffix

Business Name

TIMOTHY J RUETTEN MD

Original Issue Date

05/10/1991

Effective Date

05/10/1991

Expiration Date

06/30/1994

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006