PAUL GEORGE BUBALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039640

License Status

NOT RENEWED

Business

First Name

PAUL GEORGE

Last Name

BUBALA

Suffix

Business Name

PAUL GEORGE BUBALA MD

Original Issue Date

05/25/1965

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014