RUBEN A NIETO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005657

License Status

NOT RENEWED

Business

Title

DPM

First Name

RUBEN

Middle

Last Name

NIETO

Business Name

RUBEN A NIETO DPM

Original Issue Date

06/23/2015

Effective Date

11/14/2016

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019