JONATHAN RORY DUBIN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053134

License Status

CANCELLED

Business

First Name

JONATHAN

Middle

RORY

Last Name

DUBIN

Business Name

JONATHAN RORY DUBIN

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

05/25/2007