VICTOR CUSTODIO RUEDA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

First Name

VICTOR CUSTODIO

Last Name

RUEDA

Business Name

VICTOR CUSTODIO RUEDA

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006