DAVID LAURENCE DUBOFF DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

LAURENCE

Last Name

DUBOFF

Business Name

DAVID LAURENCE DUBOFF DO

Original Issue Date

08/25/1986

Effective Date

08/25/1986

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008