JASON ROBERT RUBERG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005726

License Status

NOT RENEWED

Business

First Name

JASON

Middle

ROBERT

Last Name

RUBERG

Business Name

JASON ROBERT RUBERG

Original Issue Date

11/03/2015

Effective Date

01/02/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022