License Type:
Dentist
License Number:
2901018907
Name:
Daniel Edward Ruddy
License Issue Date:
06/01/2004
License Expiration Date:
06/01/2027
License Status:
Active
County:
Macomb
City:
Clinton Township
State or Province:
Michigan
ZIP or Postal Code:
48035
CS Record Number:
5315019735
CS Status:
CS Expiration Date: