MAX ROLAND RUBEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077014

License Status

CANCELLED

Business

Title

First Name

MAX

Middle

ROLAND

Last Name

RUBEN

Business Name

MAX ROLAND RUBEN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/04/2020