BRIAN THOMAS STUBITSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102376

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

THOMAS

Last Name

STUBITSCH

Suffix

Business Name

BRIAN THOMAS STUBITSCH MD

Original Issue Date

04/27/2000

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017