LISA MARIE DAUL RUBEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006020

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

DAUL RUBEN

Business Name

LISA MARIE DAUL RUBEN

Original Issue Date

09/28/2016

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025