NINA LAPIDARIO TUBILLEJA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

NINA LAPIDARIO

Last Name

TUBILLEJA

Suffix

Business Name

NINA LAPIDARIO TUBILLEJA MD

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

07/31/2002

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006