JULIANE BUBECK-WARDENBURG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

JULIANE

Last Name

BUBECK-WARDENBURG

Business Name

JULIANE BUBECK-WARDENBURG

Original Issue Date

08/09/2006

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017