ROCKNE L BRUBAKER 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

ROCKNE L

Last Name

BRUBAKER

Suffix

Business Name

ROCKNE L BRUBAKER MD

Original Issue Date

08/17/1989

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017