SAMUEL J DIBONA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

SAMUEL J

Last Name

DIBONA JR

Suffix

Business Name

SAMUEL J DIBONA JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006