CAROL STAMP DUBOIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

CAROL STAMP

Last Name

DUBOIS

Suffix

Business Name

CAROL STAMP DUBOIS MD

Original Issue Date

01/01/1997

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023