BUTCH BACLIG TUBERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036954

License Status

EXPIRED

Business

First Name

BUTCH

Middle

BACLIG

Last Name

TUBERA

Suffix

Business Name

BUTCH BACLIG TUBERA MD

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006