PAUL ROBERT KUBITSCHEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

PAUL ROBERT

Last Name

KUBITSCHEK

Business Name

PAUL ROBERT KUBITSCHEK

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

TREMONT

State

Zip

61568

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005