RICHARD M KUBIK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

RICHARD M

Last Name

KUBIK

Business Name

RICHARD M KUBIK

Original Issue Date

11/24/1986

Effective Date

11/24/1986

Expiration Date

09/30/1992

City

NORTH PORT

State

Zip

34287

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005