DOMINADOR PADUA RUIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

DOMINADOR

Middle

PADUA

Last Name

RUIZ

Suffix

Business Name

DOMINADOR PADUA RUIZ MD

Original Issue Date

05/03/1983

Effective Date

05/03/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60603

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011