LAWRENCE KENT LUBER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

LAWRENCE KENT

Last Name

LUBER

Business Name

LAWRENCE KENT LUBER

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

09/30/1988

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005