CHRISTIAN DON KUBILIUS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

CHRISTIAN DON

Last Name

KUBILIUS

Business Name

CHRISTIAN DON KUBILIUS

Original Issue Date

09/02/1982

Effective Date

09/02/1982

Expiration Date

09/30/1998

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005