M ELIZABETH RUIZ WILFONG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049241

License Status

CANCELLED

Business

First Name

M ELIZABETH

Middle

RUIZ

Last Name

WILFONG

Suffix

Business Name

M ELIZABETH RUIZ WILFONG DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/30/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006