EUGENE LUBIN DERLACKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036023709

License Status

NOT RENEWED

Business

First Name

EUGENE LUBIN

Last Name

DERLACKI

Suffix

Business Name

EUGENE LUBIN DERLACKI MD

Original Issue Date

05/28/1940

Effective Date

05/28/1940

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006