PAUL GEORGE BUBALA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****34

NOT RENEWED

N

PAUL GEORGE

BUBALA

MD

PAUL GEORGE BUBALA MD

01/01/1997

07/31/2008

WAUKEGAN

IL

60085

LAKE

II III IV V

N

04/07/2011