JASON P RUBIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034034

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

RUBIN

Business Name

JASON P RUBIN

Original Issue Date

04/10/1996

Effective Date

04/10/1996

Expiration Date

06/30/1998

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006