BRENT A RUBIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031040

License Status

EXPIRED

Business

First Name

BRENT

Middle

Last Name

RUBIS

Business Name

BRENT A RUBIS

Original Issue Date

05/09/1994

Effective Date

05/09/1994

Expiration Date

06/30/2000

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006