DIANA ANGELICA RUIZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000822

License Status

NOT RENEWED

Business

First Name

DIANA ANGELICA

Last Name

RUIZ

Business Name

DIANA ANGELICA RUIZ

Original Issue Date

10/26/1996

Effective Date

10/26/1996

Expiration Date

03/01/1998

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006