JAY DUBOIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054833

License Status

INACTIVE

Business

First Name

JAY

Last Name

DUBOIS

Suffix

Business Name

JAY DUBOIS MD

Original Issue Date

06/30/1977

Effective Date

06/30/1977

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006