BRIAN D HAEUBER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

BRIAN D

Last Name

HAEUBER

Suffix

DMD

Business Name

BRIAN D HAEUBER DMD

Original Issue Date

09/02/1992

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024