MARIA C SUBAUSTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076389

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

Last Name

SUBAUSTE

Suffix

Business Name

MARIA C SUBAUSTE MD

Original Issue Date

11/18/1987

Effective Date

11/18/1987

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/25/2010