TIMOTHY R LUBENOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

TIMOTHY R

Last Name

LUBENOW

Suffix

Business Name

TIMOTHY R LUBENOW MD

Original Issue Date

10/02/1985

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023