ELLEN STACY RUBIN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005335

License Status

ACTIVE

Business

First Name

ELLEN

Middle

STACY

Last Name

RUBIN

Suffix

DPM

Business Name

ELLEN STACY RUBIN DPM

Original Issue Date

06/29/2007

Effective Date

01/09/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025