NELLY RUIZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

Title

First Name

NELLY

Last Name

RUIZ

Business Name

NELLY RUIZ MD

Original Issue Date

09/21/2012

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021