BRYAN W RUBACH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

BRYAN W

Last Name

RUBACH

Business Name

BRYAN W RUBACH

Original Issue Date

05/29/2007

Effective Date

08/19/2011

Expiration Date

07/31/2014

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020