TIM STEVEN HUBBLE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

TIM

Middle

STEVEN

Last Name

HUBBLE

Suffix

DMD

Business Name

TIM STEVEN HUBBLE DMD

Original Issue Date

08/09/1999

Effective Date

08/09/1999

Expiration Date

09/30/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005