CHRISTIAN MICHAEL DUBOIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

CHRISTIAN

Middle

MICHAEL

Last Name

DUBOIS

Suffix

Business Name

CHRISTIAN MICHAEL DUBOIS MD

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008