PATRICIA JANE RUBIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

Title

First Name

PATRICIA

Middle

JANE

Last Name

RUBIN

Business Name

PATRICIA JANE RUBIN MD

Original Issue Date

01/10/2020

Effective Date

09/09/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023