STEPHEN L HUBBARTT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

STEPHEN L

Last Name

HUBBARTT

Suffix

DMD

Business Name

STEPHEN L HUBBARTT DMD

Original Issue Date

01/01/1998

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

AUBURN

State

Zip

62615

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012