BRIANA MARIE RUEDA DO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003048

License Status

INACTIVE

Business

Title

First Name

BRIANA

Middle

MARIE

Last Name

RUEDA

Business Name

BRIANA MARIE RUEDA DO

Original Issue Date

09/18/2007

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2014