The holder whose full name is Lubak, Kathryn Ann,come from O Fallon IL,hold the Physician license(NO.01057635A) which status is Inactive.
| Name | Lubak, Kathryn Ann |
|---|---|
| License Number | 01057635A |
| License Type | Physician |
| License Status | Inactive |
| City | O Fallon |
| State | IL |