LUBA L BABICH-JAKSIC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

LUBA L

Last Name

BABICH-JAKSIC

Business Name

LUBA L BABICH-JAKSIC

Original Issue Date

01/01/1997

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017