RUSSELL MARTIN KUBYCHECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

RUSSELL MARTIN

Last Name

KUBYCHECK

Suffix

Business Name

RUSSELL MARTIN KUBYCHECK MD

Original Issue Date

01/01/1997

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021