NINA LAPIDARIO TUBILLEJA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

NINA LAPIDARIO

Last Name

TUBILLEJA

Suffix

Business Name

NINA LAPIDARIO TUBILLEJA MD

Original Issue Date

08/12/1998

Effective Date

08/12/1998

Expiration Date

07/31/2002

City

MOUNT CARROLL

State

Zip

61053

County

CARROLL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006