BONIFACE A TUBIE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

BONIFACE A

Last Name

TUBIE

Business Name

BONIFACE A TUBIE

Original Issue Date

08/22/1995

Effective Date

08/22/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006