FRED JAY DUBOE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

FRED

Middle

JAY

Last Name

DUBOE

Suffix

Business Name

FRED JAY DUBOE MD

Original Issue Date

04/16/1982

Effective Date

04/16/1982

Expiration Date

07/31/1999

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020