RUBEN A NIETO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****23

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019