HERNAN PABLO CASTRO-RUEDA 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

First Name

HERNAN

Middle

PABLO

Last Name

CASTRO-RUEDA

Suffix

Business Name

HERNAN PABLO CASTRO-RUEDA MD

Original Issue Date

07/24/2008

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011