FORREST SCOT RUBENSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

FORREST

Middle

SCOT

Last Name

RUBENSTEIN

Suffix

Business Name

FORREST SCOT RUBENSTEIN MD

Original Issue Date

10/28/2008

Effective Date

05/10/2011

Expiration Date

07/31/2014

City

STREATOR

State

Zip

61364

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017