ELLEN STACY RUBIN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

ELLEN

Middle

STACY

Last Name

RUBIN

Suffix

DPM

Business Name

ELLEN STACY RUBIN DPM

Original Issue Date

07/13/2007

Effective Date

01/09/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025