RUDDY E RUIZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

RUDDY E

Last Name

RUIZ

Business Name

RUDDY E RUIZ

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

07/31/1993

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006