RUIDONG SUN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117783

License Status

INACTIVE

Business

First Name

RUIDONG

Last Name

SUN

Suffix

Business Name

RUIDONG SUN MD

Original Issue Date

03/07/2007

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

FORT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

04/12/2017