CARLOS ANDRES RUEDA MANTILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075440

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

ANDRES

Last Name

RUEDA MANTILLA

Business Name

CARLOS ANDRES RUEDA MANTILLA MD

Original Issue Date

08/14/2023

Effective Date

08/14/2023

Expiration Date

08/13/2025

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Nephrology

Ever Disciplined

LastModifiedDate

08/14/2023