MARY A AUBERTIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

MARY A

Last Name

AUBERTIN

Suffix

DMD

Business Name

MARY A AUBERTIN DMD

Original Issue Date

12/18/1991

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024