RUBINA EHTESHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

RUBINA

Last Name

EHTESHAM

Suffix

Business Name

RUBINA EHTESHAM MD

Original Issue Date

11/01/2000

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023