MARY A AUBERTIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

AUBERTIN

Suffix

DMD

Business Name

MARY A AUBERTIN DMD

Original Issue Date

12/18/1991

Effective Date

12/18/1991

Expiration Date

09/30/1998

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005