JAKE G RUFF DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

Title

DPM

First Name

JAKE

Middle

Last Name

RUFF

Business Name

JAKE G RUFF DPM

Original Issue Date

02/02/2019

Effective Date

02/02/2019

Expiration Date

01/31/2021

City

HANNA CITY

State

Zip

61536

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021