JASON P RUBIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

RUBIN

Business Name

JASON P RUBIN

Original Issue Date

09/01/1998

Effective Date

09/01/1998

Expiration Date

07/31/1999

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006