DIMETRIS ROUBIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

DIMETRIS

Last Name

ROUBIS

Business Name

DIMETRIS ROUBIS

Original Issue Date

01/10/2003

Effective Date

01/10/2003

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006