SEBASTIAN CRISTOBAL VALDIVIESO RUEDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

SEBASTIAN

Middle

CRISTOBAL

Last Name

VALDIVIESO RUEDA

Business Name

SEBASTIAN CRISTOBAL VALDIVIESO RUEDA MD

Original Issue Date

05/19/2025

Effective Date

05/19/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2025