ANTOINETTE TANIS HUBENETTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059257

License Status

NOT RENEWED

Business

First Name

ANTOINETTE TANIS

Last Name

HUBENETTE

Suffix

Business Name

ANTOINETTE TANIS HUBENETTE MD

Original Issue Date

09/06/1979

Effective Date

09/06/1979

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006