ELLEN STACY RUBIN DPM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121947

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

STACY

Last Name

RUBIN

Suffix

DPM

Business Name

ELLEN STACY RUBIN DPM

Original Issue Date

07/14/1998

Effective Date

07/14/1998

Expiration Date

03/31/2003

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

07/06/2007