BONIFACE A TUBIE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030492

License Status

EXPIRED

Business

First Name

BONIFACE A

Last Name

TUBIE

Business Name

BONIFACE A TUBIE

Original Issue Date

06/28/1993

Effective Date

06/28/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006