BENJAMIN DAVID RUDD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

DAVID

Last Name

RUDD

Business Name

BENJAMIN DAVID RUDD MD

Original Issue Date

04/09/2008

Effective Date

04/09/2008

Expiration Date

07/31/2011

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011