SAMUEL J DIBONA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035414

License Status

NOT RENEWED

Business

First Name

SAMUEL J

Last Name

DIBONA JR

Suffix

Business Name

SAMUEL J DIBONA JR MD

Original Issue Date

08/21/1958

Effective Date

08/21/1958

Expiration Date

07/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006