RUBEN A NIETO DPM - Podiatrist License in Illinois | # 016005657

RUBEN A NIETO DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005657

License Status

NOT RENEWED

Business

N

Title

DPM

First Name

RUBEN

Middle

A

Last Name

NIETO

Business Name

RUBEN A NIETO DPM

Original Issue Date

06/23/2015

Effective Date

11/14/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019