NICHOLAS MICHAEL DUBINA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

Title

DMD

First Name

NICHOLAS

Middle

MICHAEL

Last Name

DUBINA

Business Name

NICHOLAS MICHAEL DUBINA DMD

Original Issue Date

06/21/2022

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

DUPO

State

Zip

62239

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024