CARL J KUBEK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129350

License Status

NOT RENEWED

Business

Title

First Name

CARL

Middle

Last Name

KUBEK

Business Name

CARL J KUBEK DO

Original Issue Date

12/12/2011

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017