BRIAN G RUBIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

BRIAN G

Last Name

RUBIN

Suffix

Business Name

BRIAN G RUBIN MD

Original Issue Date

04/17/1995

Effective Date

01/24/2019

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63110

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021