RUBEN A INOCENCIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

RUBEN A

Last Name

INOCENCIO

Suffix

Business Name

RUBEN A INOCENCIO MD

Original Issue Date

01/01/1997

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1996005440

Action

Suspension

Discipline Start Date

10/11/1996

Discipline End Date

05/07/2000