KATHI D RUBLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

KATHI D

Last Name

RUBLES

Suffix

Business Name

KATHI D RUBLES MD

Original Issue Date

10/26/1994

Effective Date

10/26/1994

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020