RUSSELL MARTIN KUBYCHECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056399

License Status

NOT RENEWED

Business

First Name

RUSSELL MARTIN

Last Name

KUBYCHECK

Suffix

Business Name

RUSSELL MARTIN KUBYCHECK MD

Original Issue Date

02/09/1978

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021