GEORGE T STUBBLEFIELD JR DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

INOPERATIVE

Business

First Name

GEORGE T

Last Name

STUBBLEFIELD JR

Suffix

DDS

Business Name

GEORGE T STUBBLEFIELD JR DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005