NICOLE C RUBINS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

RUBINS

Suffix

DPM

Business Name

NICOLE C RUBINS DPM

Original Issue Date

07/19/2004

Effective Date

07/19/2004

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006