ERNESTO A RUIZ-HUIDOBRO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

ERNESTO A

Last Name

RUIZ-HUIDOBRO

Business Name

ERNESTO A RUIZ-HUIDOBRO

Original Issue Date

07/03/1995

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011