MARK B LUBIENSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

MARK B

Last Name

LUBIENSKI

Suffix

Business Name

MARK B LUBIENSKI MD

Original Issue Date

12/31/2002

Effective Date

12/31/2002

Expiration Date

07/31/2005

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020