Idaho
Division of Occupational and Professional Licenses
Dr. CARL JOHN KUBEK
Board Of Medicine
License number
O-0642
Date granted
10/25/2011
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
920 SAN LUCIA DRIVE SE GRAND RAPIDS MI 49506
idaholicensing.com
ID 48347995
LAST UPDATED 2024-03-23 17:16:19 UTC
LAST UPDATED 2024-03-23 17:16:19 UTC
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