RUTH BLENCOE DEDDISH 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

First Name

RUTH BLENCOE

Last Name

DEDDISH

Suffix

Business Name

RUTH BLENCOE DEDDISH MD

Original Issue Date

01/01/1997

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014