ERIC RAY VARBONCOUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

RAY

Last Name

VARBONCOUER

Suffix

Business Name

ERIC RAY VARBONCOUER MD

Original Issue Date

06/01/2011

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021