DOMINADOR PADUA RUIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

DOMINADOR

Middle

PADUA

Last Name

RUIZ

Suffix

Business Name

DOMINADOR PADUA RUIZ MD

Original Issue Date

01/01/1997

Effective Date

01/25/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014