ELLEN A RUBIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

RUBIN

Business Name

ELLEN A RUBIN

Original Issue Date

11/21/2011

Effective Date

09/15/2020

Expiration Date

08/31/2022

City

NAPERVILLE

State

Zip

60565

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022