RONALD RICHARD KUBIAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

RONALD RICHARD

Last Name

KUBIAK

Suffix

DDS

Business Name

RONALD RICHARD KUBIAK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005