BUTCH BACLIG TUBERA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101233

License Status

INACTIVE

Business

First Name

BUTCH

Middle

BACLIG

Last Name

TUBERA

Suffix

Business Name

BUTCH BACLIG TUBERA MD

Original Issue Date

09/08/1999

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

KELLER

State

Zip

76244

County

TEXAS

Ever Disciplined

LastModifiedDate

04/07/2011