DAVID LAURENCE DUBOFF DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018197

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

LAURENCE

Last Name

DUBOFF

Business Name

DAVID LAURENCE DUBOFF DO

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006