SAMUEL B COBARRUBIAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

SAMUEL B

Last Name

COBARRUBIAS

Business Name

SAMUEL B COBARRUBIAS

Original Issue Date

10/22/1997

Effective Date

10/22/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006