BURT B KATUBIG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025357

License Status

EXPIRED

Business

First Name

BURT B

Last Name

KATUBIG

Suffix

Business Name

BURT B KATUBIG MD

Original Issue Date

06/07/1990

Effective Date

06/07/1990

Expiration Date

07/11/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006