BENJAMIN DAVID RUDD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050097

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

DAVID

Last Name

RUDD

Business Name

BENJAMIN DAVID RUDD MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008