RUBEN A NIETO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000854

License Status

NOT RENEWED

Business

Title

DPM

First Name

RUBEN

Middle

Last Name

NIETO

Business Name

RUBEN A NIETO DPM

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/15/2015

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2016