RONALD RICHARD KUBIAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015500

License Status

NOT RENEWED

Business

First Name

RONALD RICHARD

Last Name

KUBIAK

Suffix

DDS

Business Name

RONALD RICHARD KUBIAK DDS

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/2002

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005