ESTELA S RUTIAGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

ESTELA

Middle

Last Name

RUTIAGA

Business Name

ESTELA S RUTIAGA MD

Original Issue Date

12/04/2025

Effective Date

12/04/2025

Expiration Date

07/31/2026

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025