BIANCA PATRICIA DUBE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061657

License Status

CANCELLED

Business

Title

First Name

BIANCA

Middle

PATRICIA

Last Name

DUBE

Business Name

BIANCA PATRICIA DUBE MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/01/2014