AMANDA EVONNE RUGGLES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

EVONNE

Last Name

RUGGLES

Business Name

AMANDA EVONNE RUGGLES MD

Original Issue Date

12/09/2024

Effective Date

12/09/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

12/09/2024