RUIDONG SUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

RUIDONG

Last Name

SUN

Suffix

Business Name

RUIDONG SUN MD

Original Issue Date

03/07/2007

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017