ELLEN STACY RUBIN DPM - Podiatrist License in Illinois | # 135000588

ELLEN STACY RUBIN DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000588

License Status

EXPIRED

Business

N

First Name

ELLEN

Middle

STACY

Last Name

RUBIN

Suffix

DPM

Business Name

ELLEN STACY RUBIN DPM

Original Issue Date

07/13/2005

Effective Date

07/13/2005

Expiration Date

06/30/2007

State

IL

Ever Disciplined

N

LastModifiedDate

07/06/2007