TATYANA LUBBAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046995

License Status

NOT RENEWED

Business

First Name

TATYANA

Last Name

LUBBAT

Suffix

Business Name

TATYANA LUBBAT MD

Original Issue Date

02/07/1973

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014