IVAN JAVIER REYES-RUFO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

IVAN

Middle

JAVIER

Last Name

REYES-RUFO

Business Name

IVAN JAVIER REYES-RUFO DO

Original Issue Date

09/02/2025

Effective Date

09/02/2025

Expiration Date

07/31/2026

City

SALEM

State

Zip

97304

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2025