AMANDA RUBUSH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

AMANDA

Last Name

RUBUSH

Business Name

AMANDA RUBUSH MD

Original Issue Date

10/07/2014

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2023