LISA MARIE DAUL RUBEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

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

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025