SAMUEL ELEAZAR RUSKIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053815

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

ELEAZAR

Last Name

RUSKIN

Business Name

SAMUEL ELEAZAR RUSKIN MD

Original Issue Date

07/06/2007

Effective Date

07/06/2007

Expiration Date

07/05/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/06/2007