JENNIFER REBECCA RUBIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102249

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

REBECCA

Last Name

RUBIN

Suffix

Business Name

JENNIFER REBECCA RUBIN DO

Original Issue Date

03/30/2000

Effective Date

03/30/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006