ELLEN STACY RUBIN DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000588

License Status

EXPIRED

Business

First Name

ELLEN

Middle

STACY

Last Name

RUBIN

Suffix

DPM

Business Name

ELLEN STACY RUBIN DPM

Original Issue Date

07/13/2005

Effective Date

07/13/2005

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2007